Active NPI
Jeffrey Fendrick, MD
- Pediatrics Physician
- West Chester, PA
National Provider Identifier
1093739385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-042481-L
- Practice address
- 440 East Marshall St
3Rd FLR North, Suite 300
West Chester, PA 19380 - Phone
- (610) 436-8611
- Fax
- (610) 436-1193
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-042481-L | PA | Primary |
Addresses
Primary practice location
440 East Marshall St
3Rd FLR North, Suite 300
West Chester, PA 19380
Mailing address
440 East Marshall St
3Rd FLR North, Suite 300
West Chester, PA 19380
Phone (610) 436-8611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-042481-L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chop Clinical Associates, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Care Network Gibbsboro
- Pediatrics Physician
- Gibbsboro, NJ
- NPI 1336414226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093739385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 EAST MARSHALL ST",
"address_2": "3RD FLR NORTH, SUITE 300",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380",
"telephone_number": "610-436-8611",
"fax_number": "610-436-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 EAST MARSHALL ST",
"address_2": "3RD FLR NORTH, SUITE 300",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380",
"telephone_number": "610-436-8611",
"fax_number": "610-436-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDRICK",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD-042481-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.