Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Health Medical PA PC

Organization Primary Care Nurse Practitioner · NPI 1750212056

Great Health Medical PA PC is a Primary Care Nurse Practitioner in Philadelphia, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Phone: (718) 470-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1750212056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonika Randev — Md · (212) 734-6621
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address407 Willoughby Ave, Brooklyn, NY 11205-4590

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