Healthcare Provider Details

I. General information

NPI: 1083525307
Provider Name (Legal Business Name): MERAKEY TOTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 E MOUNT AIRY AVE
PHILADELPHIA PA
19119-1713
US

IV. Provider business mailing address

620 GERMANTOWN PIKE
LAFAYETTE HILL PA
19444-1810
US

V. Phone/Fax

Practice location:
  • Phone: 215-258-6833
  • Fax:
Mailing address:
  • Phone: 215-836-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DERRICK YACOVELLI
Title or Position: CEO
Credential:
Phone: 610-260-4601