Healthcare Provider Details

I. General information

NPI: 1902596257
Provider Name (Legal Business Name): OCEANA HOPKINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST STE 501
FOUNTAIN HILL PA
18015-1153
US

IV. Provider business mailing address

701 OSTRUM ST STE 501
FOUNTAIN HILL PA
18015-1153
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-3648
  • Fax: 484-526-2034
Mailing address:
  • Phone: 484-526-3648
  • Fax: 484-526-2034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberMT228056
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: