TASHA D PROFIT PA NPI 1255361457

NPI Information

  • NPI: 1255361457
  • Provider Name: TASHA D PROFIT, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 SPRUCE ST
    GROUND RHOADS PAVILION
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 662-7355

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NPI Details

Tasha D Profit, PA is a medical physician assistant in Philadelphia, PA with 21 years of experience. Tasha D Profit, PA NPI is 1255361457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SPRUCE ST
GROUND RHOADS PAVILION
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-7355

The NPI 1255361457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery (HCPCS:93286)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 7/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical25MP00125700NEW YORKNo
2363AM0700XPhysician AssistantMedicalMA053355PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1084825BVPMEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2Q26619MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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