Individual provider Active NPI

Cecilia Grace Fumberg, M.D.

  • Infectious Disease Physician
  • Chester, PA
National Provider Identifier
1225068273
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD05686L Issued in PA
Practice address
1 Medical Center Blvd
Acp-331
Chester, PA 19013-3902
Phone
(610) 874-1253
Fax
(610) 619-8429
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD05686L PA Primary
Internal Medicine Physician 207R00000X MD-056186-L PA

Addresses

Primary practice location

1 Medical Center Blvd
Acp-331
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
Acp-331
Chester, PA 19013-3902
Phone (610) 874-1253

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
I20120309000501 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0547429599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Medical Associates LLCGroup PAC ID 3173691649, 5 clinicians

Practice addresses (Care Compare)

1503 Lansdowne Ave
Suite 3010
Darby, PA 19023-1308
Phone (610) 237-5816

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-056186-LPAMDInternal Medicine Physician
MD05686LPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Infectious Diseases Medical Associates, LLC Infectious Disease CurrentSince Jul 1, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 1, 2021 Accepting new patients

Locations

1 Medical Center Blvd
#331
Chester, PA 19013
Phone (610) 874-1253

1 Medical Center Blvd
Ste 221
Chester, PA 19013
Phone (610) 874-1253

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1503 Lansdowne Ave
Ste 3010
Darby, PA 19023
Phone (610) 237-5801

1 Bartol Ave
Ste 103
Ridley Park, PA 19078
Phone (610) 521-3022

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 4

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

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1225068273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "ACP-331",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-874-1253",
            "fax_number": "610-619-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "ACP-331",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-874-1253",
            "fax_number": "610-619-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMBERG",
        "first_name": "CECILIA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD05686L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-056186-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.