MEDICARE: MERAKEY PHILADELPHIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225159429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERAKEY PHILADELPHIA

Provider Business Mailing Address
First Line	:	620 GERMANTOWN PIKE
Second Line	:
City	:	LAFAYETTE HILL
State	:	PA
Zip	:	19444-1810
Country	:	US
Telephone Number	:	215-836-3131
Fax Number	:	215-273-5975

Provider Business Practice Location Address
First Line	:	10825 E KESWICK RD
Second Line	:	APT 158
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-4134
Country	:	US
Telephone Number	:	215-836-3131
Fax Number	:	215-273-5975

Authorized Official
Title or Position	:	CORP SR. DIRECTOR OF BUSINESS OPS
Name	:	MR. NORMAN E TILSON JR.
Credential	:
Telephone Number	:	215-836-3131

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	01/26/2024

Similar Medicare Providers

1801924584 — RESOURCES FOR HUMAN DEVELOPMENT
Practice Location Address:

10825 E KESWICK RD
PHILADELPHIA, PA
19154-4134

Practice Phone: 215-848-1947
Practice Fax: 215-848-1601

1053000950 — MISS ASHLEY MARIAH HAGOOD BSN, RN
Practice Location Address:

10825 E KESWICK RD
PHILADELPHIA, PA
19154-4134

Practice Phone: 267-535-9070
Practice Fax:

1164412144 — DR. JENNIFER LEIGH PARISH M.D.
Practice Location Address:

1760 MARKET ST , STE 301
PHILADELPHIA, PA
19103-4134

Practice Phone: 215-563-8333
Practice Fax: 215-563-3044

1508871229 — FIRST PHILADELPHIA CHARTER SCHOOL
Practice Location Address:

4300 TACONY ST
PHILADELPHIA, PA
19124-4134

Practice Phone: 215-743-3100
Practice Fax: 215-743-9877

1104917681 — MR. WILLAIM COFFEY LCSW
Practice Location Address:

1760 MARKET ST , SUITE 700
PHILADELPHIA, PA
19103-4134

Practice Phone: 215-575-9140
Practice Fax:

1124113873 — DR. JANET L ETZI PSYD
Practice Location Address:

18 DRUIM MOIR LN
PHILADELPHIA, PA
19118-4134

Practice Phone: 215-264-4625
Practice Fax:

Directions to “MERAKEY PHILADELPHIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.