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BERWYN HEALTH AND WELLNESS PC
NPI 1417712662
Family Medicine in Berwyn, PA

Active since February 16, 2024
901 LANCASTER AVE STE 100, BERWYN, PA 19312(610) 251-2525 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Berwyn Health And Wellness Pc NPPES

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

BERWYN HEALTH AND WELLNESS PC (NPI 1417712662) is a healthcare organization registered as a family medicine in Berwyn, Pennsylvania and active in the NPI registry since February 2024. The organization lists Zygmunt Porada, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1417712662
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBERWYN HEALTH AND WELLNESS PC
Location Address901 LANCASTER AVE STE 100Berwyn, PA 19312-1710
Mailing Address901 Lancaster Ave Ste 100Berwyn, PA 19312-1710 · (610) 251-2525
Phone(610) 251-2525
Organization SubpartNo
Authorized OfficialZygmunt PoradaTreasurer · (443) 641-6227
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1417712662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
901 LANCASTER AVE STE 100, Berwyn, PA 19312
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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 39D2309392

Berwyn Hlth And Wellness PC · Berwyn, PA
Expired · Aug 13, 2026
CLIA Number39D2309392
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorDr. Adil Shakir
Laboratory Phone(610) 251-2525
Laboratory LocationBerwyn Hlth And Wellness PC901 Lancaster Ave, Suite 100, Berwyn, PA 19312
CLIA data matches this NPI record on: Address 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 Berwyn Health And Wellness PC's NPI number?

The NPI number for Berwyn Health And Wellness PC is 1417712662. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Berwyn Health And Wellness PC located?

Berwyn Health And Wellness PC is located at 901 Lancaster Ave Ste 100, Berwyn, PA 19312. The listed phone number is (610) 251-2525.

What is Berwyn Health And Wellness PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Berwyn Health And Wellness PC was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.