CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
NPI 1023052172
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since June 16, 2006CLIA Certified · 2 labs
1703 S BROAD ST STE 300, PHILADELPHIA, PA 19148(215) 463-5333(215) 463-8085 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Oct 13, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Cardiology Consultants Of Philadelphia @ Jefferson NPPES

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

CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON (NPI 1023052172) is a healthcare organization registered as a cardiovascular disease in Philadelphia, Pennsylvania and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Dawn Padgett, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1023052172
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMETHODIST ASSOCIATES IN HEALTHCARE HEART STATION
Location Address1703 S BROAD ST STE 300Philadelphia, PA 19148-1536
Mailing AddressPo Box 828937Philadelphia, PA 19182-8937 · (215) 503-1240
Fax(215) 463-8085
Organization SubpartNo
Authorized OfficialDawn PadgettCredentialing Manager · (215) 955-1175
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 13, 20245 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1023052172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1703 S BROAD ST STE 300, Philadelphia, PA 19148

Other Names 1

Doing Business AsCardiology Consultants Of Philadelphia @ Jefferson

Secondary Practice Locations 2

Location 12301 S Broad St, 2nd FloorPhiladelphia, PA 19148-3542 · Phone (215) 952-9300 · Fax (215) 952-5044
Location 21809 W Oregon Ave Fl 1Philadelphia, PA 19145-3700 · Phone (215) 389-3890

Other Identifiers 1

Medicaid001536515PA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 39D0683469

Cardiology Consultants Of Phila · Philadelphia, PA
Active · expires Jan 15, 2027
CLIA Number39D0683469
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorPasquale Procacci MD
Laboratory Phone(215) 463-5333
Laboratory LocationCardiology Consultants Of Phila1703 S Broad St Suite 300, Philadelphia, PA 19148
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D0950980

Cardiology Consultants Of Philadelphia · Philadelphia, PA
Active · expires Sep 9, 2026
CLIA Number39D0950980
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorDr. Pasquale F. Nestico
Laboratory Phone(267) 479-4157
Laboratory LocationCardiology Consultants Of Philadelphia1809 Oregon Avenue, Philadelphia, PA 19145
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Medical)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148
Physician Assistant (Medical)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148
Internal Medicine (Cardiovascular Disease)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148
Internal Medicine (Cardiovascular Disease)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148
Internal Medicine (Cardiovascular Disease)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148
Internal Medicine (Cardiovascular Disease)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148
Internal Medicine (Cardiovascular Disease)
1703 S BROAD ST STE 300
PHILADELPHIA, PA 19148

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 Methodist Associates In Healthcare Heart Station's NPI number?

The NPI number for Methodist Associates In Healthcare Heart Station is 1023052172. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Cardiology Consultants Of Philadelphia @ Jefferson.

Where is Methodist Associates In Healthcare Heart Station located?

Methodist Associates In Healthcare Heart Station is located at 1703 S Broad St Ste 300, Philadelphia, PA 19148. The listed phone number is (215) 463-5333.

What is Methodist Associates In Healthcare Heart Station's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Methodist Associates In Healthcare Heart Station hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Methodist Associates In Healthcare Heart Station accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Methodist Associates In Healthcare Heart Station 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 Methodist Associates In Healthcare Heart Station was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.