JEFFERSONVILLE FAMILY AND GERIATRIC MEDICINE, LLC
NPI 1033359542
Family Medicine in East Norriton, PA

Q: What is Jeffersonville Family And Geriatric Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 23, 2009CLIA 39D0988719 · Waiver

190 WEST GERMANTOWN PIKE, SUITE 155, EAST NORRITON, PA 19401(610) 277-9040(610) 277-7890 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffersonville Family And Geriatric Medicine, Llc NPPES

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

JEFFERSONVILLE FAMILY AND GERIATRIC MEDICINE, LLC (NPI 1033359542) is a healthcare organization registered as a family medicine in East Norriton, Pennsylvania and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists William R. Dickerman, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1033359542

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJEFFERSONVILLE FAMILY AND GERIATRIC MEDICINE, LLC

Location Address190 WEST GERMANTOWN PIKE, SUITE 155East Norriton, PA 19401-1383

Mailing Address190 W Germantown Pike, Suite 155East Norriton, PA 19401-1385 · (610) 277-9040 · Fax (610) 277-7890

Phone(610) 277-9040

Fax(610) 277-7890

Organization SubpartNo

Authorized OfficialWilliam R. DickermanPhysician/owner · (610) 277-9040

Enumeration DateFebruary 23, 2009

Last NPPES UpdateJuly 8, 2016

✔ NPI 1033359542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS006150L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

190 WEST GERMANTOWN PIKE, East Norriton, PA 19401

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Group Practice 1

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 39D0988719

Jeffersonville Family & General Med · East Norriton, PA

Active · expires Jul 5, 2027

CLIA Number39D0988719

Laboratory TypePhysician Office

Certificate Effective DateJuly 6, 2025

Certificate Expiration DateJuly 5, 2027

Laboratory DirectorWilliam R. Dickerman

Laboratory Phone(610) 277-9040

Laboratory LocationJeffersonville Family & General Med190 West Germantown Pike, Suite 155, East Norriton, PA 19401

CLIA data matches this NPI record on: Address Phone

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 Jeffersonville Family And Geriatric Medicine, LLC's NPI number?

The NPI number for Jeffersonville Family And Geriatric Medicine, LLC is 1033359542. It was assigned to this organization in the NPPES registry on February 23, 2009.

Where is Jeffersonville Family And Geriatric Medicine, LLC located?

Jeffersonville Family And Geriatric Medicine, LLC is located at 190 West Germantown Pike Suite 155, East Norriton, PA 19401. The listed phone number is (610) 277-9040.

What is Jeffersonville Family And Geriatric Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jeffersonville Family And Geriatric Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0988719) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jeffersonville Family And Geriatric Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jeffersonville Family And Geriatric Medicine, LLC 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 Jeffersonville Family And Geriatric Medicine, LLC was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.