JORDAN KLEBANOFF
NPI 1437578655
Obstetrics & Gynecology - Gynecology in Newtown Square, PA

Q: What is Jordan Klebanoff's NPI number?

The NPI number for Jordan Klebanoff is 1437578655. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Jordan Klebanoff's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Klebanoff was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

3855 W CHESTER PIKE STE 340, NEWTOWN SQUARE, PA 19073(484) 227-9680 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, May 8, 2018 (2 updates tracked since 2018).

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About Jordan Klebanoff NPPES

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

JORDAN KLEBANOFF (NPI 1437578655) is an individual gynecology provider in Newtown Square, Pennsylvania, licensed in Pennsylvania (MD470445) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1437578655

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameJORDAN KLEBANOFF

Location Address3855 W CHESTER PIKE STE 340Newtown Square, PA 19073-2304

Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632

Phone(484) 227-9680

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateMay 16, 20252 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1437578655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in PA · MD470445

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD046048 (DC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3855 W CHESTER PIKE STE 340, Newtown Square, PA 19073

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Secondary Practice Location 1

Location 14755 Ogletown Stanton RdNewark, DE 19718-2200 · Phone (215) 738-8894

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Klebanoff is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254550783

PECOS Enrollment IDI20200708000032

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

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

CATHERINE DEBOW MCGINTY FNP

Nurse Practitioner (Family)