Individual provider Active NPI

Nataliya Dementovych, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Gwynedd, PA
National Provider Identifier
1083875637
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD443831 Issued in PA
Practice address
1120 Meetinghouse Rd
Gwynedd, PA 19436-1000
Phone
(215) 283-7159
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD443831 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD443831 PA Primary

Addresses

Primary practice location

1120 Meetinghouse Rd
Gwynedd, PA 19436-1000

Mailing address

1711 Stocton Rd
Jenkintown, PA 19046-1161
Phone (609) 699-2698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000030 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4486810587 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

1120 Meetinghouse Rd
Gwynedd, PA 19436-1000
Phone (609) 699-2698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Nataliya Dementovych MD PLLC Geriatric Medicine CurrentSince Nov 24, 2025 Accepting new patients
Abington Memorial Hospital Geriatric Medicine CurrentSince Jul 1, 2012 Accepting new patients
Amh Medical Staff Service Fund Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1245 Highland Ave
Ste 302
Abington, PA 19001
Phone (215) 481-7462

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 305
Abington, PA 19001
Phone (215) 481-5640

1235 Old York Rd
Ste 214
Abington, PA 19001
Phone (215) 481-4811

1120 Meetinghouse Rd
Gwynedd, PA 19436
Phone (215) 643-2200

500 York Rd
Ste 203
Jenkintown, PA 19046
Phone (215) 886-0174

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1083875637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 STOCTON RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461161",
            "telephone_number": "609-699-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEETINGHOUSE RD",
            "city": "GWYNEDD",
            "state": "PA",
            "postal_code": "194361000",
            "telephone_number": "215-283-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENTOVYCH",
        "first_name": "NATALIYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD443831",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD443831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynedd, PA

Sources for this page

Verify at the official NPI Registry.