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STEPHEN M GOLLOMP MD PC
NPI 1841350758
Psychiatry & Neurology - Neurology in Wynnewood, PA

Active since December 11, 2006
SUITE 161, LANKENAU MEDICAL BLDG EAST, 100 EAST LANCASTER AVENUE, WYNNEWOOD, PA 19096(610) 642-5371(610) 642-5658 Get Directions Write a Review

NPPES record last updated: February 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen M Gollomp Md Pc NPPES

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

STEPHEN M GOLLOMP MD PC (NPI 1841350758) is a healthcare organization registered as a neurology in Wynnewood, Pennsylvania and active in the NPI registry since December 2006. The organization lists Stephen Michael Gollomp, President, as its authorized official.

NPPES Registry Identity

NPI1841350758
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSTEPHEN M GOLLOMP MD PC
Location AddressSUITE 161, LANKENAU MEDICAL BLDG EAST, 100 EAST LANCASTER AVENUEWynnewood, PA 19096-3425
Mailing AddressSuite 161, Lankenau Medical Bldg East, 100 East Lancaster AvenueWynnewood, PA 19096-3425 · (610) 642-5371 · Fax (610) 642-5658
Phone(610) 642-5371
Fax(610) 642-5658
Organization SubpartNo
Authorized OfficialStephen Michael GollompPresident · (610) 642-5371
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 25, 2018
✔ NPI 1841350758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD024887E
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
SUITE 161, LANKENAU MEDICAL BLDG EAST, Wynnewood, PA 19096
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen M Gollomp Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040628001018Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen M Gollomp MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Gollomp, MD
Neurology
NPI 1194723585
100 E LANCASTER AVE SUITE 161
Wynnewood, PA 19096
(610) 642-5371
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephen M Gollomp MD PC's NPI number?

The NPI number for Stephen M Gollomp MD PC is 1841350758. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Stephen M Gollomp MD PC located?

Stephen M Gollomp MD PC is located at Suite 161, Lankenau Medical Bldg East 100 East Lancaster Avenue, Wynnewood, PA 19096. The listed phone number is (610) 642-5371.

What is Stephen M Gollomp MD PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stephen M Gollomp MD PC enrolled in Medicare?

Yes. Stephen M Gollomp MD PC is registered in the Medicare PECOS enrollment system.

When is Stephen M Gollomp MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Stephen M Gollomp MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Stephen M Gollomp MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephen M Gollomp MD PC was last updated on February 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.