PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC
NPI 1295274272
Clinic/Center - Multi-Specialty in Philadelphia, PA

Active since February 23, 2017CLIA 39D2132246 · Waiver
8000 ESSINGTON AVE, TERMINAL A EAST 2ND FLOOR, PHILADELPHIA, PA 19153(215) 492-2789(215) 492-2770 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Mar 16, 2020, Feb 23, 2017 (3 updates tracked since 2017).

About Premise Health Of Pennsylvania Medical Pc NPPES

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

PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC (NPI 1295274272), doing business as Premise Health Clinic, is a healthcare organization registered as a multi-specialty in Philadelphia, Pennsylvania and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1295274272
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF PENNSYLVANIA MEDICAL PC
Location Address8000 ESSINGTON AVE, TERMINAL A EAST 2ND FLOORPhiladelphia, PA 19153-9998
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(215) 492-2770
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateFebruary 23, 2017
Last NPPES UpdateFebruary 10, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1295274272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
8000 ESSINGTON AVE, Philadelphia, PA 19153

Other Names 1

Doing Business AsPremise Health Clinic

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 39D2132246

Premise Health Of PA Medical, PC · Philadelphia, PA
Active · expires Jun 14, 2027
CLIA Number39D2132246
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDr. Mario Delvalle
Laboratory Phone(215) 492-2789
Laboratory LocationPremise Health Of PA Medical, PCPhiladelphia Intl Airport 8000 Essington Ave Terminal A East Concourse 2nd Floor, Philadelphia, PA 19153
CLIA data matches this NPI record on: 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 Premise Health Of Pennsylvania Medical PC's NPI number?

The NPI number for Premise Health Of Pennsylvania Medical PC is 1295274272. It was assigned to this organization in the NPPES registry on February 23, 2017. The provider is doing business as Premise Health Clinic.

Where is Premise Health Of Pennsylvania Medical PC located?

Premise Health Of Pennsylvania Medical PC is located at 8000 Essington Ave Terminal A East 2nd Floor, Philadelphia, PA 19153. The listed phone number is (215) 492-2789.

What is Premise Health Of Pennsylvania Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Pennsylvania Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2132246) is associated with this NPI, valid through June 14, 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 Premise Health Of Pennsylvania Medical PC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.