PENN MEDICINE-PMA
NPI 1013582840
Internal Medicine - Pulmonary Disease in Audubon, PA

Q: What is Penn Medicine-Pma's NPI number?

The NPI number for Penn Medicine-Pma is 1013582840. It was assigned to this organization in the NPPES registry on May 24, 2021.

Q: What is Penn Medicine-Pma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Penn Medicine-Pma was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2021CLIA 39D1105973 · Waiver

2650 EGYPT RD, AUDUBON, PA 19403(215) 662-6187 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2022, May 24, 2021 (2 updates tracked since 2021).

On this page

About Penn Medicine-pma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN MEDICINE-PMA (NPI 1013582840) is a healthcare organization registered as a pulmonary disease in Audubon, Pennsylvania and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Chante Jackson, Payer Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013582840

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NamePENN MEDICINE-PMA

Location Address2650 EGYPT RDAudubon, PA 19403-2302

Mailing Address150 Monument RdBala Cynwyd, PA 19004-1702

Phone(215) 662-6187

Organization SubpartNo

Authorized OfficialChante JacksonPayer Supervisor · (267) 207-7303

Enumeration DateMay 24, 2021

Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1013582840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

2650 EGYPT RD, Audubon, PA 19403

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1105973

Penn Medicine Home Health · Bala Cynwyd, PA

Active · expires Mar 18, 2027

CLIA Number39D1105973

Laboratory TypeHome Health Agency

Certificate Effective DateMarch 19, 2025

Certificate Expiration DateMarch 18, 2027

Laboratory DirectorDr. Sandra Jost

Laboratory Phone(610) 747-3400

Laboratory LocationPenn Medicine Home Health150 Monument Rd, Suite 600, Bala Cynwyd, PA 19004

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENN MEDICINE-PMA

Internal Medicine

2650 EGYPT RD
AUDUBON, PA 19403

Montgomery County (215) 662-6187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn Medicine-Pma's NPI number?

The NPI number for Penn Medicine-Pma is 1013582840. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Penn Medicine-Pma located?

Penn Medicine-Pma is located at 2650 Egypt Rd, Audubon, PA 19403. The listed phone number is (215) 662-6187.

What is Penn Medicine-Pma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Does Penn Medicine-Pma hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1105973) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Penn Medicine-Pma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Penn Medicine-Pma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penn Medicine-Pma was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.