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Export Provider Record NPI 1255859112
Penn'S Rock Primary Care
Organization Subpart: NO
Active
NPI Number1255859112
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1255859112
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2017-08-31
Last Updated2019-02-01
Authorized OfficialMonika Vansant
physician
Phone: 2675199353
Mailing AddressPo Box 251
Southampton, PA 18966-0251
United States
Phone: (215) 551-0200 | Fax: (215) 551-0209
📍 View Map
Primary Practice Address801 Washington Ave Unit C
Philadelphia, PA 19147-4716
United States
Phone: (267) 519-9359 | Fax: (267) 519-8120
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicinePAos010207l
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About NPI 1255859112

Penn'S Rock Primary Care is an organization registered in the CMS NPPES NPI Registry with NPI number 1255859112. The primary specialty listed is Family Medicine. The organization is located in Philadelphia, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1255859112?

NPI 1255859112 belongs to Penn'S Rock Primary Care, a Family Medicine in Philadelphia, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1255859112 active?

The current status of NPI 1255859112 in the NPPES registry is Active. The record was last updated on 2019-02-01.

What specialty is NPI 1255859112?

NPI 1255859112 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1255859112?

You can verify NPI 1255859112 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1255859112?

The primary practice address on file for NPI 1255859112 is 801 Washington Ave Unit C, Philadelphia, PA 19147-4716. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1255859112 issued?

NPI 1255859112 was first issued (enumerated) on 2017-08-31. The NPPES record was last updated on 2019-02-01.

Practice Location Map

Penn'S Rock Primary Care is located at 801 Washington Ave Unit C, Philadelphia, PA. Use the map below to find directions or verify the practice location.

📍 801 Washington Ave Unit C, Philadelphia, PA 19147-4716  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Penn'S Rock Primary Care. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1255859112. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicineos010207lPA
Data Verified from CMS NPPES Last synced: 2026-07-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162