PT FAMILY MEDICINE PC
NPI 1962975615
Family Medicine in Jeannette, PA

Active since January 05, 2019CLIA 39D2243430 · Waiver
2057 STATE ROUTE 130, JEANNETTE, PA 15644(724) 527-2700(724) 527-2705 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 9, 2023, Mar 24, 2020, Jan 5, 2019 (3 updates tracked since 2019).

About Pt Family Medicine Pc NPPES

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

PT FAMILY MEDICINE PC (NPI 1962975615) is a healthcare organization registered as a family medicine in Jeannette, Pennsylvania and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Kevin M Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1962975615
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePT FAMILY MEDICINE PC
Location Address2057 STATE ROUTE 130Jeannette, PA 15644-3801
Mailing Address2057 State Route 130Jeannette, PA 15644-3801 · (724) 527-2700 · Fax (724) 527-2705
Fax(724) 527-2705
Organization SubpartNo
Authorized OfficialKevin M WongOwner · (724) 527-2700
Enumeration DateJanuary 5, 2019
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
NPI 1962975615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
2057 STATE ROUTE 130, Jeannette, PA 15644

Group Practice 2

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

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2243430
Facility Type
Physician Office
Certificate Effective Date
November 18, 2025
Certificate Expiration Date
November 17, 2027
Laboratory Director
DR. KEVIN M. WONG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pt Family Medicine Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PT FAMILY MEDICINE PC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
2057 STATE ROUTE 130
JEANNETTE, PA 15644
Family Medicine (Sports Medicine)
2057 STATE ROUTE 130
JEANNETTE, PA 15644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962975615, enumerated as an "organization" on January 05, 2019.

The provider is located at 2057 STATE ROUTE 130 JEANNETTE, PA 15644 and the phone number is (724) 527-2700.

Family Medicine with taxonomy code 207Q00000X.