Healthcare Provider Details

I. General information

NPI: 1992752042
Provider Name (Legal Business Name): JOEL S. TUMBERELLO C.R.N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1553 CHESTER PIKE SUITE 201
CRUM LYNNE PA
19022-1022
US

IV. Provider business mailing address

5666 CLYMER ROAD
QUAKERTOWN PA
18951-3264
US

V. Phone/Fax

Practice location:
  • Phone: 610-499-7180
  • Fax: 610-876-0859
Mailing address:
  • Phone: 215-538-3488
  • Fax: 215-538-8692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberTP003619
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberTP003619C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: