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MAIN LINE MEDICAL GROUP LTD
NPI 1760415913
Family Medicine in Narberth, PA

Active since July 09, 2006CLIA 39D0197293 · Waiver
857 MONTGOMERY AVE, NARBERTH, PA 19072(610) 664-2951(610) 664-2131 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Main Line Medical Group Ltd NPPES

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

MAIN LINE MEDICAL GROUP LTD (NPI 1760415913) is a healthcare organization registered as a family medicine in Narberth, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert Weisberg, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1760415913
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN LINE MEDICAL GROUP LTD
Location Address857 MONTGOMERY AVENarberth, PA 19072-1541
Mailing Address857 Montgomery AveNarberth, PA 19072-1541 · (610) 664-2951 · Fax (610) 664-2131
Phone(610) 664-2951
Fax(610) 664-2131
Organization SubpartNo
Authorized OfficialRobert WeisbergSecretary/treasurer · (610) 664-2951
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 5, 2009
✔ NPI 1760415913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

857 MONTGOMERY AVE, Narberth, PA 19072
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Other Identifiers 2

Medicare ID-Type Unspecified054484PA
Medicare PIN052445NJ

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

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 39D0197293

Main Line Medical Group · Narberth, PA
Active · expires Aug 31, 2026
CLIA Number39D0197293
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Robert Weisberg
Laboratory Phone(215) 664-2951
Laboratory LocationMain Line Medical Group857 Montgomery Ave, Narberth, PA 19072
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

LINDA GALEF-SURDO M.D.
Internal Medicine
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Montgomery County (610) 664-2951
DR. ELIZABETH A BRADLEY M.D.
Family Medicine
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Montgomery County (610) 664-2951
DR. STEVEN CRAIG LEWIS D.O.
Family Medicine (Geriatric Medicine)
857 MONTGOMERY AVE
NARBERTH, PA 19072
Montgomery County (610) 664-2951
CLEMENTINA NKIRU OKORJI MSN, AGNP-C
Nurse Practitioner (Gerontology)
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Montgomery County (610) 664-2951
DALMA HEGEDUS M.D.
Internal Medicine (Geriatric Medicine)
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Montgomery County (610) 664-2951
DR. HEATHER LYNN DOWD D.O.
Internal Medicine
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Montgomery County (610) 664-2951
MANSOOR CHOUDHRY DO
General Practice
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Montgomery County (312) 766-4949
DR. JERRY A COHEN D.O.
Family Medicine (Geriatric Medicine)
857 MONTGOMERY AVE
NARBERTH, PA 19072
Montgomery County (610) 664-2951

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 Medical Group Ltd's NPI number?

The NPI number for Main Line Medical Group Ltd is 1760415913. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Main Line Medical Group Ltd located?

Main Line Medical Group Ltd is located at 857 Montgomery Ave, Narberth, PA 19072. The listed phone number is (610) 664-2951.

What is Main Line Medical Group Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Main Line Medical Group Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0197293) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Main Line Medical Group Ltd was last updated on August 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.