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JENNIFER E. IDZIOREK DDS
NPI 1063707479
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 14, 2011PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-3580 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer E. Idziorek Dds NPPES

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

JENNIFER E. IDZIOREK DDS (NPI 1063707479) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063707479
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER E. IDZIOREKCredential: DDS
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4206 · (215) 662-3580
Phone(215) 662-3580
Sole ProprietorNo
Enumeration DateJune 14, 2011
✔ NPI 1063707479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer E. Idziorek Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
MONIQUE LORRAINE ROBERTS SALAHUB
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000

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 Jennifer Idziorek's NPI number?

The NPI number for Jennifer Idziorek is 1063707479. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Jennifer Idziorek located?

Jennifer Idziorek practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-3580.

What is Jennifer Idziorek's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Idziorek enrolled in Medicare?

Yes. Jennifer Idziorek is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Idziorek accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Jennifer Idziorek 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 Jennifer Idziorek was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.