DR. MARY MADELINE PERDONCIN MD
NPI 1780438036
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 15, 2024
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-6200 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Apr 15, 2024 (2 updates tracked since 2024).

About Dr. Mary Madeline Perdoncin Md NPPES

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

DR. MARY MADELINE PERDONCIN MD (NPI 1780438036) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1780438036
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARY MADELINE PERDONCINCredential: MD
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1780438036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5501 OLD YORK RD STE 1, Philadelphia, PA 19141

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.

Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141

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 Mary Perdoncin's NPI number?

The NPI number for Mary Perdoncin is 1780438036. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Mary Perdoncin located?

Mary Perdoncin practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-6200.

What is Mary Perdoncin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Perdoncin was last updated on May 20, 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.