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PENN PERSONALIZED CARE
NPI 1598034639
Internal Medicine in Philadelphia, PA

Active since December 19, 2011CLIA Certified · 2 labs
3400 CIVIC CENTER BLVD, 1 EAST PAVILION, PHILADELPHIA, PA 19104(215) 662-2450 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penn Personalized Care NPPES

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

PENN PERSONALIZED CARE (NPI 1598034639) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since December 2011. The organization holds 2 active CLIA laboratory certificates and lists Gary W Crooks, Md, as its authorized official.

NPPES Registry Identity

NPI1598034639
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUNIVERSITY OF PENN-DENTAL MED ASST
Location Address3400 CIVIC CENTER BLVD, 1 EAST PAVILIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 1 East PavilionPhiladelphia, PA 19104-5127 · (215) 662-2450
Phone(215) 662-2450
Organization SubpartNo
Authorized OfficialGary W CrooksMd · (215) 662-2450
Enumeration DateDecember 19, 2011
Last NPPES UpdateJanuary 5, 2012
✔ NPI 1598034639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD028425E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Names 1

Doing Business AsPenn Personalized Care

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 Waiver 39D2132259

Penn Personalized Care Dr Crooks · Philadelphia, PA
Active · expires Jun 14, 2027
CLIA Number39D2132259
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDr. Gary W. Crooks
Laboratory Phone(215) 662-2450
Laboratory LocationPenn Personalized Care Dr CrooksPerelman Center For Advanced Med 1 E Pavilion 3400 Civic Center Blvd, Philadelphia, PA 19104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2342311

Penn Personalized Care- Ws · Philadelphia, PA
Active · expires Apr 16, 2028
CLIA Number39D2342311
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorDr. Rosemary A. Kearney
Laboratory Phone(215) 829-3016
Laboratory LocationPenn Personalized Care- Ws700 Walnut St, 2nd Floor, Philadelphia, PA 19107
CLIA data matches this NPI record on: Name
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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 University Of Penn-Dental Med Asst's NPI number?

The NPI number for University Of Penn-Dental Med Asst is 1598034639. It was assigned to this organization in the NPPES registry on December 19, 2011. The provider is doing business as Penn Personalized Care.

Where is University Of Penn-Dental Med Asst located?

University Of Penn-Dental Med Asst is located at 3400 Civic Center Blvd 1 East Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-2450.

What is University Of Penn-Dental Med Asst's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does University Of Penn-Dental Med Asst 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 University Of Penn-Dental Med Asst was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.