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MAIN LINE FERTILITY CLINIC PC
NPI 1427734599
Obstetrics & Gynecology - Reproductive Endocrinology in Bryn Mawr, PA

Active since June 23, 2023CLIA Certified · 2 labs
825 OLD LANCASTER RD STE 170, BRYN MAWR, PA 19010(610) 527-0800 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Line Fertility Clinic Pc NPPES

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

MAIN LINE FERTILITY CLINIC PC (NPI 1427734599) is a healthcare organization registered as a reproductive endocrinology in Bryn Mawr, Pennsylvania and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates and lists Marianne Debenedictis, Vice President, Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1427734599
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameMAIN LINE FERTILITY CLINIC PC
Location Address825 OLD LANCASTER RD STE 170Bryn Mawr, PA 19010-3234
Mailing Address4828 Loop Central Dr Ste 900Houston, TX 77081-2220 · (610) 527-0800
Phone(610) 527-0800
Organization SubpartNo
Authorized OfficialMarianne DebenedictisVice President, Payor Relations · (713) 254-3601
Enumeration DateJune 23, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1427734599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
825 OLD LANCASTER RD STE 170, Bryn Mawr, PA 19010
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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 39D0975102

Main Line Fertility Center · Bryn Mawr, PA
Active · expires Feb 4, 2027
CLIA Number39D0975102
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDr. Shawn Zimmerman
Laboratory Phone(610) 527-0800
Laboratory LocationMain Line Fertility Center825 Old Lancaster Rd Suite 170, Bryn Mawr, PA 19010
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 39D0960814

Main Line Fertility Bryn Mawr · Bryn Mawr, PA
Active · expires Jan 26, 2027
CLIA Number39D0960814
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorDr. Benjamin Gocial
Laboratory Phone(610) 527-0800
Laboratory LocationMain Line Fertility Bryn Mawr825 Old Lancaster Rd, Suite 170, Bryn Mawr, PA 19010
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

LEEANNE NESTEL RN BSN
Registered Nurse (Reproductive Endocrinology/Infertility)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (484) 380-4878
JENNIFER DOROTHY RIGHTLEY RN,BSN
Registered Nurse (Reproductive Endocrinology/Infertility)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (484) 380-4876
ALLISON TOMACK PA-C
Physician Assistant
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
MAIN LINE REPRODUCTIVE SURGERY CENTER PC
Clinic/Center (Ambulatory Surgical)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
JENNA LIPSON KAHN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
DR. SHANNON ALEXA FISHMAN D.O
Obstetrics & Gynecology (Reproductive Endocrinology)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
MARYANNE CATHRYN BOYLE BSN, RN
Registered Nurse (Reproductive Endocrinology/Infertility)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (484) 380-4873
SANDRA MCLAUGHLIN RN, BSN
Registered Nurse (Reproductive Endocrinology/Infertility)
825 OLD LANCASTER RD STE 170
BRYN MAWR, PA 19010
Delaware County (484) 380-4877

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 Main Line Fertility Clinic PC's NPI number?

The NPI number for Main Line Fertility Clinic PC is 1427734599. It was assigned to this organization in the NPPES registry on June 23, 2023.

Where is Main Line Fertility Clinic PC located?

Main Line Fertility Clinic PC is located at 825 Old Lancaster Rd Ste 170, Bryn Mawr, PA 19010. The listed phone number is (610) 527-0800.

What is Main Line Fertility Clinic PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Main Line Fertility Clinic PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Main Line Fertility Clinic PC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.