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DEVINE CONCIERGE MEDICINE, LLC
NPI 1093324527
Internal Medicine in Wayne, PA

Active since July 30, 2020CLIA 39D2259489 · Waiver
165 RIDGEWOOD RD, WAYNE, PA 19087(610) 554-5626 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2020, Jul 30, 2020 (2 updates tracked since 2020).

About Devine Concierge Medicine, Llc NPPES

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

DEVINE CONCIERGE MEDICINE, LLC (NPI 1093324527), doing business as Devine Concierge Medicine, is a healthcare organization registered as an internal medicine in Wayne, Pennsylvania and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Daniel J. Devine, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1093324527
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDEVINE CONCIERGE MEDICINE, LLC
Location Address165 RIDGEWOOD RDWayne, PA 19087-2846
Mailing Address104 South Wayne Avenue, P.o. Box #279Wayne, PA 19087 · (610) 554-5626
Phone(610) 554-5626
Organization SubpartNo
Authorized OfficialDaniel J. DevineCo-founder · (610) 554-5626
Enumeration DateJuly 30, 2020
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1093324527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
165 RIDGEWOOD RD, Wayne, PA 19087
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Other Names 1

Doing Business AsDevine Concierge Medicine

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

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 39D2259489

Devine Concierge Medicine, LLC · Wayne, PA
Active · expires May 5, 2028
CLIA Number39D2259489
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorDaniel J. Devine
Laboratory Phone(610) 486-5980
Laboratory LocationDevine Concierge Medicine, LLC165 Ridgewood Road, Wayne, PA 19087
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MICHAEL S. DEVINE M.D.
Internal Medicine
165 RIDGEWOOD RD
WAYNE, PA 19087
Chester County (610) 486-5980

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 Devine Concierge Medicine, LLC's NPI number?

The NPI number for Devine Concierge Medicine, LLC is 1093324527. It was assigned to this organization in the NPPES registry on July 30, 2020. The provider is doing business as Devine Concierge Medicine.

Where is Devine Concierge Medicine, LLC located?

Devine Concierge Medicine, LLC is located at 165 Ridgewood Rd, Wayne, PA 19087. The listed phone number is (610) 554-5626.

What is Devine Concierge Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Devine Concierge Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2259489) is associated with this NPI, valid through May 5, 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 Devine Concierge Medicine, LLC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.