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CHESTER FAMILY PRACTICE
NPI 1356454706
Family Medicine in Chester, PA

Active since August 17, 2006CLIA 39D0856098 · Waiver
521 E 9TH ST, CHESTER, PA 19013(610) 872-0565(610) 872-4478 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chester Family Practice NPPES

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

CHESTER FAMILY PRACTICE (NPI 1356454706) is a healthcare organization registered as a family medicine in Chester, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Marylyn Ann Mudrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1356454706
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHESTER FAMILY PRACTICE
Location Address521 E 9TH STChester, PA 19013-6136
Mailing Address521 E 9th StChester, PA 19013-6136 · (610) 872-0565 · Fax (610) 872-4478
Phone(610) 872-0565
Fax(610) 872-4478
Organization SubpartNo
Authorized OfficialMarylyn Ann MudrickOwner · (610) 872-0565
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1356454706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD029229E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
521 E 9TH ST, Chester, PA 19013
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Other Identifiers 4

Medicaid0554265001PA
Medicare UPINB41974PA
Medicare PIN717563PA
Other5023294PA · Blue Shield

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 39D0856098

Chester Family Practice · Brookhaven, PA
Active · expires Dec 18, 2026
CLIA Number39D0856098
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorDr. Marilyn A. Mudrick
Laboratory Phone(610) 872-0565
Laboratory LocationChester Family Practice3303A Edgemont Ave, Brookhaven, PA 19015
CLIA data matches this NPI record on: Name 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 Chester Family Practice's NPI number?

The NPI number for Chester Family Practice is 1356454706. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Chester Family Practice located?

Chester Family Practice is located at 521 E 9th St, Chester, PA 19013. The listed phone number is (610) 872-0565.

What is Chester Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Chester Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0856098) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chester Family Practice was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.