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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PENN
NPI 1023941655
Rehabilitation, Substance Use Disorder Unit in Philadelphia, PA

Active since June 04, 2026CLIA 39D2180611 · Waiver
4040 MARKET ST FL 2, PHILADELPHIA, PA 19104(215) 662-8747 Get Directions Write a Review

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penn NPPES

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

PENN (NPI 1023941655) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Philadelphia, Pennsylvania and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Eugene Vernell Moses, Behavioral Health/addiction's Couns, as its authorized official.

NPPES Registry Identity

NPI1023941655
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NamePENN
Location Address4040 MARKET ST FL 2Philadelphia, PA 19104-3003
Mailing Address4040 Market St Fl 2Philadelphia, PA 19104-3003 · (215) 662-8747
Phone(215) 662-8747
Organization SubpartNo
Authorized OfficialEugene Vernell MosesBehavioral Health/addiction's Couns · (215) 662-8724
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1023941655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
4040 MARKET ST FL 2, Philadelphia, PA 19104
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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 39D2180611

Penn Medicine Ppmc Outpatient Substance Use · Philadelphia, PA
Active · expires Mar 17, 2028
CLIA Number39D2180611
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorDr. Anna M. Moran
Laboratory Phone(215) 662-8963
Laboratory LocationPenn Medicine Ppmc Outpatient Substance Use4040 Market Street, Philadelphia, PA 19104
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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's NPI number?

The NPI number for Penn is 1023941655. It was assigned to this organization in the NPPES registry on June 4, 2026.

Where is Penn located?

Penn is located at 4040 Market St Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 662-8747.

What is Penn's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

Does Penn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2180611) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Penn was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.