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

Angeline Johny

Individual provider Urology Physician · NPI 1578025417

Angeline Johny is an Urology in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Suburban/NRH Medical Rehabilitation Inc, a 913-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

3400 Civic Center Blvd West Pavilion 3rd Fl
Philadelphia, PA 19104-5127
Phone: (301) 503-4765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD484693 (PA)

Record details

NPI number1578025417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Suburban/Nrh Medical Rehabilitation Inc — 913 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Philadelphia