STOLL MEDICAL GROUP LLC
NPI 1144875717
Specialist in Philadelphia, PA

Active since August 09, 2019CLIA 39D2055179 · Waiver
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102(267) 273-1196(267) 273-1193 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stoll Medical Group Llc NPPES

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

STOLL MEDICAL GROUP LLC (NPI 1144875717) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Steven Matthew Stoll, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1144875717
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTOLL MEDICAL GROUP LLC
Location Address1528 WALNUT ST STE 950Philadelphia, PA 19102-3628
Mailing Address1528 Walnut St Ste 950Philadelphia, PA 19102-3628 · (267) 273-1196 · Fax (267) 273-1193
Fax(267) 273-1193
Organization SubpartNo
Authorized OfficialSteven Matthew StollProvider/owner · (215) 615-3020
Enumeration DateAugust 9, 2019
NPI 1144875717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1528 WALNUT ST STE 950, Philadelphia, PA 19102

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 39D2055179

Stoll Medical Group LLC · Philadelphia, PA
Active · expires Mar 5, 2027
CLIA Number39D2055179
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDr. Steven M. Stoll MD
Laboratory Phone(267) 273-1196
Laboratory LocationStoll Medical Group LLC1528 Walnut Street Suite 950, Philadelphia, PA 19102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Internal Medicine
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Physician Assistant (Medical)
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Physician Assistant
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Family Medicine
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Dermatology
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Dermatology
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102
Physician Assistant
1528 WALNUT ST STE 950
PHILADELPHIA, PA 19102

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 Stoll Medical Group LLC's NPI number?

The NPI number for Stoll Medical Group LLC is 1144875717. It was assigned to this organization in the NPPES registry on August 9, 2019.

Where is Stoll Medical Group LLC located?

Stoll Medical Group LLC is located at 1528 Walnut St Ste 950, Philadelphia, PA 19102. The listed phone number is (267) 273-1196.

What is Stoll Medical Group LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Stoll Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2055179) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stoll Medical Group LLC was last updated on August 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.