# ARIA HEALTH PHYSICIAN SERVICES - JUNIATA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Juniata Family Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508991589
- **Authorized official:** RONALD KUMOR (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (215) 612-4858

## Contact information

- **Practice address:** 1139 E LUZERNE ST, PHILADELPHIA, PA 19124-5234
- **Practice address phone:** (215) 537-5094
- **Practice address fax:** (215) 537-5096
- **Mailing address:** PO BOX 825395, PHILADELPHIA, PA 19182-5395
- **Mailing address phone:** (215) 807-8000
- **Mailing address fax:** (215) 537-5096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 10/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0422923001 | KEYSTONE, IBC | PA |
| 05 | — | 1007526250039 | — | PA |
| 05 | — | 1007526250041 | — | PA |
| 05 | — | 1007526250051 | — | PA |
| 01 | — | 1022049 | KEYSTONE MERCY | PA |
| 01 | — | 11055 | HEALTH PARTNERS | PA |
| 01 | — | 2010 | AETNA | PA |
| 01 | — | 381501 | PERSONAL CHOICE | PA |