Organization
ABINGTON REHABILITATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHALISH NIEVES (BILLING SUPERVISOR)
(215) 830-9568
Entity
Organization
Contact information
Practice address
701 EASTON RD, WILLOW GROVE, PA 19090-2003
(215) 830-9568
(215) 830-9579
Mailing address
701 EASTON RD, WILLOW GROVE, PA 19090-2003
(215) 830-9568
(215) 830-9579
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
029257E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011988930003
MEDICAID
PA
01
—
0412650000
AMERIHEALTH
PA
01
—
11547
HEALTH PARTNERS
PA
01
—
139576
OAKTREE HEALTH PLAN
PA
01
—
20021149
AMERIHEALTH ADMINISTRATOR
PA
01
—
48462
KEYSTONE MERCY
PA
01
—
590586
BLUE SHIELD
PA
01
—
68681
AETNA
PA
01
—
CK0451
RRB MEDICARE
PA
01
—
G416724
OXFORD HEALTH PLAN
PA
Enumeration date
12/12/2006
Last updated
08/22/2020
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