CARLY JEAN COULOMBE
NPI 1912878091
Physician Assistant - Medical in Philadelphia, PA
About Carly Jean Coulombe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY JEAN COULOMBE (NPI 1912878091) is an individual medical provider in Philadelphia, Pennsylvania and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Jean Coulombe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Carly Coulombe's NPI number?
The NPI number for Carly Coulombe is 1912878091. It was assigned to this individual provider in the NPPES registry on September 13, 2025. The provider is also known as Carley Jean Coulombe.
Where is Carly Coulombe located?
Carly Coulombe practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-5800.
What is Carly Coulombe's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Carly Coulombe enrolled in Medicare?
Yes. Carly Coulombe is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carly Coulombe was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Carly Jean Coulombe · NPI 1912878091
Medical physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 13, 2025.
## Identity
- **NPI:** 1912878091 (Entity type: Individual)
- **Enumerated:** September 13, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 WOODLAND AVE, Philadelphia, PA 19104-4551
- **Phone:** (215) 823-5800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912878091) · Data from the CMS NPPES public registry.