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

Q: 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.

Active since June 16, 2006CLIA 39D0950980 · Waiver

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: September 06, 2026.

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

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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 a CLIA Waiver certificate valid through September 9, 2028, 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

Phone(215) 463-5333

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.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

1703 S BROAD ST STE 300, Philadelphia, PA 19148

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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

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 39D0950980

Cardiology Consultants Of Philadelphia · Philadelphia, PA

Active · expires Sep 9, 2028

CLIA Number39D0950980

Laboratory TypePhysician Office

Certificate Effective DateSeptember 10, 2026

Certificate Expiration DateSeptember 9, 2028

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.

KELSY MAE HOPKINS

Physician Assistant (Medical)