MEDICARE: NORTHEAST HEALTH CENTER

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	111N00000X	Chiropractor	DC8637	PA

General Provider Information

NPI Number	:	1598980666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST HEALTH CENTER

Provider Business Mailing Address
First Line	:	10014 SANDMEYER LN
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3502
Country	:	US
Telephone Number	:	215-969-3752
Fax Number	:	215-676-5779

Provider Business Practice Location Address
First Line	:	10014 SANDMEYER LN
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3502
Country	:	US
Telephone Number	:	215-969-3752
Fax Number	:	215-676-5779

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	MR. KEVIN O'MELIA
Credential	:	D.C.
Telephone Number	:	215-969-3752

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1003010935 — DR. ALASDAIR ANDREW PERRY DC
Practice Location Address:

10014 SANDMEYER LN
PHILADELPHIA, PA
19116-3502

Practice Phone: 215-969-3752
Practice Fax: 215-676-5779

1710574975 — SUSAN ELUWA FNP-BC
Practice Location Address:

7805 BROCKLEHURST ST
PHILADELPHIA, PA
19152-3502

Practice Phone: 267-315-8876
Practice Fax:

1760479232 — DR. RONALD T. MERRIEL JR. D.C.
Practice Location Address:

3502 SCOTTS LN , A-13
PHILADELPHIA, PA
19129-1561

Practice Phone: 215-844-8484
Practice Fax: 215-933-5232

1639192941 — DR. CORINA MARIE GRAZIANI M.D.
Practice Location Address:

2100 SPRING GARDEN STREET , 3RD FLOOR
PHILADELPHIA, PA
19130-3502

Practice Phone: 215-988-9555
Practice Fax: 215-988-0545

1164445482 — DR. LOUIS R. PETRONE M.D.
Practice Location Address:

2100 SPRING GARDEN STREET , 1ST FLOOR
PHILADELPHIA, PA
19130-3502

Practice Phone: 215-955-9655
Practice Fax: 215-988-0545

1619113610 — TRI-STATE CARDIOVASCULAR IMAGING ASSOCIATES, INC.
Practice Location Address:

3502 SCOTTS LN , SUITE 2
PHILADELPHIA, PA
19129-1561

Practice Phone: 215-842-0870
Practice Fax: 215-974-7466

Directions to “NORTHEAST HEALTH CENTER ” 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.