JEFFERSON INTERNAL MEDICINE PC
NPI 1477980373
Non-Pharmacy Dispensing Site in Clairton, PA

Active since October 09, 2013CLIA 39D1040870 · Waiver
575 COAL VALLEY RD, SUITE 374, CLAIRTON, PA 15025(412) 469-7744 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jefferson Internal Medicine Pc NPPES

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

JEFFERSON INTERNAL MEDICINE PC (NPI 1477980373) is a healthcare organization registered as a non-pharmacy dispensing site in Clairton, Pennsylvania and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1477980373
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJEFFERSON INTERNAL MEDICINE PC
Location Address575 COAL VALLEY RD, SUITE 374Clairton, PA 15025-3730
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateOctober 9, 2013
✔ NPI 1477980373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in PA · MD039474E
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
575 COAL VALLEY RD, Clairton, PA 15025

Accepted Insurance

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 39D1040870

Jefferson Internal Medicine · Clairton, PA
Active · expires May 18, 2027
CLIA Number39D1040870
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorDavid S. Lilienthal MD
Laboratory Phone(412) 469-7744
Laboratory LocationJefferson Internal Medicine575 Coal Valley Road Suite 374, Clairton, PA 15025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
575 COAL VALLEY RD, SUITE 405
CLAIRTON, PA 15025
Surgery (Vascular Surgery)
575 COAL VALLEY RD, SUITE 365
CLAIRTON, PA 15025
Durable Medical Equipment & Medical Supplies
575 COAL VALLEY RD, SUITE 404
CLAIRTON, PA 15025
Psychiatry & Neurology (Psychiatry)
575 COAL VALLEY RD, STE 303
CLAIRTON, PA 15025
Nurse Practitioner
575 COAL VALLEY RD, SUITE EG-01
CLAIRTON, PA 15025
Physical Therapist
575 COAL VALLEY RD, MEDICAL OFFICE BUILDING # 105
CLAIRTON, PA 15025
Psychologist
575 COAL VALLEY RD, SUITE 203
CLAIRTON, PA 15025
Ophthalmology
575 COAL VALLEY RD, SUITE 461
JEFFERSON HILLS, PA 15025

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 Jefferson Internal Medicine PC's NPI number?

The NPI number for Jefferson Internal Medicine PC is 1477980373. It was assigned to this organization in the NPPES registry on October 9, 2013.

Where is Jefferson Internal Medicine PC located?

Jefferson Internal Medicine PC is located at 575 Coal Valley Rd Suite 374, Clairton, PA 15025. The listed phone number is (412) 469-7744.

What is Jefferson Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Jefferson Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1040870) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Internal Medicine PC accept?

Health plans from Sanford Health Plan list Jefferson Internal Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson Internal Medicine PC was last updated on October 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.