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DR. JENNIFER MARY AVALLONE DO
NPI 1588800429
Psychiatry & Neurology - Clinical Neurophysiology in King Of Prussia, PA

Active since December 24, 2008PECOS Enrolled
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406(215) 590-1719 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Oct 23, 2017, May 26, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jennifer Mary Avallone Do NPPES

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

DR. JENNIFER MARY AVALLONE DO (NPI 1588800429) is an individual clinical neurophysiology provider in King Of Prussia, Pennsylvania, licensed in Florida (OS14496) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1588800429
Entity TypeIndividualFemale
Primary Taxonomy2084N0600X
Provider Legal NameDR. JENNIFER MARY AVALLONECredential: DO
Location Address550 S GODDARD BLVDKing Of Prussia, PA 19406-2922
Mailing Address550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · (215) 590-1719
Phone(215) 590-1719
Sole ProprietorYes
Enumeration DateDecember 24, 2008
Last NPPES UpdateMarch 7, 20224 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1588800429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Licenses✔ Licensed in FL · OS14496✔ Licensed in PA · OS021729
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License OS021729 (PA)
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License OS021729 (PA), OS14496 (FL)
550 S GODDARD BLVD, King Of Prussia, PA 19406
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Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (800) 879-2467

Other Identifiers 1

OtherOS14496FL · State Of Florida Dept Of Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Mary Avallone Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MARGARET HESSER MARSELLO MSN, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (106) 337-3232
JOANNA LYNN PALAC CRNP
Nurse Practitioner (Pediatrics)
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-3232
DR. JACQUELYN MARIE MILLER PSYD
Psychologist
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (215) 606-8745
DR. KATHERINE EASBY DAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (215) 590-1527
BIANCA MONTALVO
Nurse Practitioner (Primary Care)
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-3232
CHRISTINE ELLEN PULICE D.O.
Pediatrics
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-3232
ZARINE BROCA MD
Pediatrics
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-3232
CHRISTIANNE J. KAUFFMAN CRNP
Nurse Practitioner (Acute Care)
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (908) 329-7363

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 Jennifer Avallone's NPI number?

The NPI number for Jennifer Avallone is 1588800429. It was assigned to this individual provider in the NPPES registry on December 24, 2008.

Where is Jennifer Avallone located?

Jennifer Avallone practices at 550 S Goddard Blvd, King Of Prussia, PA 19406. The listed phone number is (215) 590-1719.

What is Jennifer Avallone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is Jennifer Avallone enrolled in Medicare?

Yes. Jennifer Avallone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Avallone was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.