Dedicated Pennsylvania Holding, LLC
NPI 1841707965ActiveOrganization· Specialist· Philadelphia, PA
Specialist in Philadelphia, Pennsylvania, registered in NPPES in January 2018, part of Dedicated Pennsylvania Holding, LLC. The authorized official on file is Raymond Jimenez, Director Of Client Services.
Overview
| NPI | 1841707965 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dedicated Pennsylvania Holding, LLC |
| NPI issued | Jan 10, 2018 |
| Last updated in NPPES | Mar 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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