Healthcare Provider Details

I. General information

NPI: 1871457614
Provider Name (Legal Business Name): HOUSE CALL MEDICAL SERVICES OF PENNSYLVANIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N 18TH ST STE 300
PHILADELPHIA PA
19103-2707
US

IV. Provider business mailing address

2626 HALPERIN AVE FL 1
BRONX NY
10461-2631
US

V. Phone/Fax

Practice location:
  • Phone: 718-561-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT DINESSEN
Title or Position: OWNER
Credential: MD
Phone: 646-350-1619