JENNIFER GRUGAN
Student in an Organized Health Care Education/Training Program

Address: 4170 City Ave, Philadelphia, PA 19131-1610

JENNIFER GRUGAN (NPI# 1972196012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972196012
Entity Type Individual
Full Name JENNIFER GRUGAN
Gender Female
Practice Address 4170 City Ave
Philadelphia
PA 19131-1610
Practice Telephone 2158716772
Mailing Address 2372 W Deerfield Dr
Media
PA 19063-1836
Mailing Telephone 4848321286
Certification Date 2021-02-19
Enumeration Date 2021-02-19
Last Update Date 2021-02-19
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4170 CITY AVE
City PHILADELPHIA
State PA
Zip Code 19131-1610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780279158 Cally Richardson Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-07
1730774365 Veronica Kim-Quy Pham Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-05
1851986996 Amanda Marie Fellin Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1881289965 Bruna Kiane Ruthner Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1427642263 Tia Rose Wisdo Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131 2021-02-23
1215521299 Jessica Huston Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-22
1023601218 Shaina Yadav Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-18
1669065744 Gabrielle Elizabeth Evans Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-18
1528651809 Dylan Yurasits Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-17
1336732999 Savannah Danielle Taranto Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-15
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center · Rehabilitation 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1033735071 Provision Point LLC Durable Medical Equipment & Medical Supplies · Dialysis Equipment & Supplies 2560 Belmont Ave, Philadelphia, PA 19131 2020-06-24
1033748264 Mona Anne Dasgupta Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA 19131 2020-04-08
1952930406 Alexandra Maria Cruz Student in an Organized Health Care Education/Training Program 4190 City Avenue, Phialdelphia, PA 19131 2020-04-06
1134774888 Arti D Mistry Dentist · General Practice 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist · Gerontology 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1114417060 Christopher Maroon Dentist · General Practice 1575 N 52nd St Ste 705, Philadelphia, PA 19131 2018-05-16
1487143541 Tanvi Patel Dentist · General Practice 1575 N 52nd St Ste 705, Philadelphia, PA 19131 2018-05-04
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
Find all providers in zip 19131

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780279158 Cally Richardson 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-07
1730774365 Veronica Kim-Quy Pham 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-05
1659966729 Jessica Clark 1025 Walnut St, Philadelphia, PA 19107-5001 2021-03-01
1851986996 Amanda Marie Fellin 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1881289965 Bruna Kiane Ruthner 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1306430079 Nicholas Decarlo 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 2021-02-23
1336733070 Ruth Michelle Joanis 4190 City Ave, Philadelphia, PA 19131-1626 2021-02-23
1427642263 Tia Rose Wisdo 4170 City Ave, Philadelphia, PA 19131 2021-02-23
1215521299 Jessica Huston 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-22
1285228197 George Boukas 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-22
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.