WELGEN ONE OF PENN LLC
NPI 1356060099
General Practice in Pittsburgh, PA

Q: What is Welgen One Of Penn LLC's NPI number?

The NPI number for Welgen One Of Penn LLC is 1356060099. It was assigned to this organization in the NPPES registry on August 25, 2022.

Q: What is Welgen One Of Penn LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since August 25, 2022CLIA 39D2315509 · Waiver

239 4TH AVE STE 1401, PITTSBURGH, PA 15222(833) 935-4361 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2022, Aug 30, 2022, Aug 25, 2022 (3 updates tracked since 2022).

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About Welgen One Of Penn Llc NPPES

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

WELGEN ONE OF PENN LLC (NPI 1356060099) is a healthcare organization registered as a general practice in Pittsburgh, Pennsylvania and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Shanira Delacruz, President, as its authorized official.

NPPES Registry Identity

NPI1356060099

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameWELGEN ONE OF PENN LLC

Location Address239 4TH AVE STE 1401Pittsburgh, PA 15222-1715

Mailing Address629 S 4th St Ste 301Louisville, KY 40202-2461

Phone(833) 935-4361

Organization SubpartNo

Authorized OfficialShanira DelacruzPresident · (201) 233-2155

Enumeration DateAugust 25, 2022

Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1356060099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedCounselorTaxonomy 101Y00000X

Also ListedAllergy & Immunology · Clinical & Laboratory ImmunologyTaxonomy 207KI0005X

Also ListedSpecialist/Technologist, Health Information · Registered Record AdministratorTaxonomy 246YR1600X

Also ListedNurse PractitionerTaxonomy 363L00000X

239 4TH AVE STE 1401, Pittsburgh, PA 15222

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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 MULTIPLE 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 39D2315509

Welgen One Of Penn, LLC · Pittsburgh, PA

Active · expires Dec 12, 2026

CLIA Number39D2315509

Laboratory TypePhysician Office

Certificate Effective DateDecember 13, 2024

Certificate Expiration DateDecember 12, 2026

Laboratory DirectorDr. Jeffrey A. Gazzara

Laboratory Phone(770) 212-0015

Laboratory LocationWelgen One Of Penn, LLC239 4th Ave, Suite 1401, Pittsburgh, PA 15222

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 11

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

KRP LEGACY HOMECARE

Home Health