Individual provider Active NPI

Amy Klein-Zimmerman, MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1265441935
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD417983 Issued in PA
Practice address
824 Main St
Ste. 100a
Philadelphia, PA 19104-2614
Phone
(610) 935-1330
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD417983 PA Primary

Addresses

Primary practice location

824 Main St
Ste. 100a
Philadelphia, PA 19104-2614

Mailing address

824 Main St
Ste. 100a
Philadelphia, PA 19104-2614
Phone (610) 935-1330

Other identifiers 1

IdentifierTypeStateIssuer
001883932MedicaidPA

Other names 1

  • Amy Klein Former name

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
I20170523000154 PA Practitioner - Pediatric Medicine 9638446610 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Mar 21, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Pediatrics Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 21, 2017 Accepting new patients

Locations

824 Main St
Ste 100A
Phoenixville, PA 19460
Phone (610) 917-0320

420 W Linfield Trappe Rd
Ste 1000A
Royersford, PA 19468
Phone (215) 646-0297

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1265441935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "STE. 100A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "610-935-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "STE. 100A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "610-935-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN-ZIMMERMAN",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD417983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001883932",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KLEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.