Main Line Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN LINE FAMILY MEDICINE INC

Practice address

1450 E Boot Rd
Ste. 200a
West Chester, PA 19380-5300

Phone

(610) 420-3456

NPI assigned

Jun 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tetyana Zelenska, MDNPI 1639219439

Title

Physician

Phone

(610) 420-3456

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tetyana A Zelenska, MD

  • Family Medicine Physician
  • West Chester, PA
  • NPI 1639219439
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1073718599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD STE 200A",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805999",
            "telephone_number": "610-420-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD",
            "address_2": "STE. 200A",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805300",
            "telephone_number": "610-420-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "ZELENSKA",
        "authorized_official_first_name": "TETYANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-420-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Magee, DDS
• Katelyn Mae Maguire, PA-C
• John Patrick Maher, MD
• Michele Maher
• Matt Mahood
• Jennifer Marie Majorczak
• Julian Malatesta, AA
• Victor J. Malatesta, PH.D.
• Mary Ann Magee Male, PHD
• Theron C Male, PHD

• Family Medicine Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.