Individual provider Active NPI

Gina Marie Stefanelli, D.O.

  • Hospitalist Physician
  • Bryn Mawr, PA
National Provider Identifier
1083961445
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS017354 Issued in PA
Practice address
130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121
Phone
(484) 337-4097
Fax
(484) 337-4086
NPI assigned
Aug 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 OS017354 PA
Hospitalist Physician 208M00000X OS017354 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121

Mailing address

130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121
Phone (484) 337-4097

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
I20150609000229 PA Practitioner - HospitalistPractitioner - Internal Medicine 7810218435 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Pennsylvania PCGroup PAC ID 9234309840, 94 clinicians

Practice addresses (Care Compare)

559 W Germantown Pike
Einstein Medical Center Montgomery
East Norriton, PA 19403-4250
Phone (484) 622-1000

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Sep 25, 2020 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

130 S Bryn Mawr Ave
Ste H321
Bryn Mawr, PA 19010
Phone (484) 337-4097

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

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

1600 E High St
#100
Pottstown, PA 19464
Phone (610) 327-7766

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 9

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 1

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": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1083961445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "SUITE H321",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4097",
            "fax_number": "484-337-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "SUITE H321",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4097",
            "fax_number": "484-337-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANELLI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017354",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS017354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.