UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1912014614
Medical Genetics - Clinical Genetics (M.D.) in Philadelphia, PA

Q: What is University Of Penn - Medical Group's NPI number?

The NPI number for University Of Penn - Medical Group is 1912014614. It was assigned to this organization in the NPPES registry on August 25, 2006.

Q: What is University Of Penn - Medical Group's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Active since August 25, 2006

3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104(215) 662-4740 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About University Of Penn - Medical Group NPPES

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

UNIVERSITY OF PENN - MEDICAL GROUP (NPI 1912014614) is a healthcare organization registered as a clinical genetics (m.d.) in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1912014614

Entity TypeOrganization

Primary Taxonomy207SG0201X

Legal Business NameUNIVERSITY OF PENN - MEDICAL GROUP

Location Address3400 SPRUCE ST, ONE MALONEYPhiladelphia, PA 19104-4206

Mailing Address3400 Spruce St, One MaloneyPhiladelphia, PA 19104-4206 · (215) 662-4740

Phone(215) 662-4740

Organization SubpartNo

Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187

Enumeration DateAugust 25, 2006

Last NPPES UpdateNovember 20, 2020

NPPES CertifiedNovember 20, 2020

✔ NPI 1912014614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

3400 SPRUCE ST, Philadelphia, PA 19104

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Other Identifiers 11

Other980167PA · Aetna

Other0002Y20116PA · Healthnet

Medicaid0006610360PA

OtherCA0235PA · Rr Medicare

Other0053945000PA · Keystone

Other147249PA · Blue Shield

OtherG00053120PA · Americhoice

Other7768508NJ · Nj-medicaid

Other1061396PA · Mercy

Other26256PA · Healthpartners

Other273231PA · Mamsi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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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.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

MONIQUE LORRAINE ROBERTS SALAHUB

Anesthesiology (Critical Care Medicine)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

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 - Medical Group's NPI number?

The NPI number for University Of Penn - Medical Group is 1912014614. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is University Of Penn - Medical Group located?

University Of Penn - Medical Group is located at 3400 Spruce St One Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-4740.

What is University Of Penn - Medical Group's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

What insurance does University Of Penn - Medical Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Penn - Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Penn - Medical Group was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.