Main Line Emergency Med Associates LLC
Organization Active NPI Emergency Medicine Physician · Paoli, PA
NPI 1316919368 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1316919368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MAIN LINE EMERGENCY MED ASSOCIATES LLC
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - Phone
- (610) 648-1043
- Fax
- (610) 648-1415
- NPI assigned
- Feb 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Steven Moonblatt
- Title
- President
- Phone
- (215) 990-7578
Practitioners 289
-
Brandon Blakey, MD
-
Joshua M Brown, DO
-
Theresa N Bullen, M.D.
-
Timothy Caleb Burch, PA-C
-
Jenny Chen, PA-C
-
James Duncklee, D.O.
-
Rosemary Galante, CRNP
-
Jamie Galli, CRNP
-
Abigail Haba, DO
-
Shelby Catherine Hufnal, PA-C
-
Amy Lynn Jones, MD
-
Kathryn Kaminski, MD
-
Efrat Rosenzweig Kean, M.D.
-
Megan Keating, FNP-BC
-
Jason Kitchen, MD
-
Rachael Engle Labensky, D.O.
-
Theo James Leriotis, D.O.
-
Jenine McCloskey, CRNP
-
Amanda Meehan, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000122 | PA | Part B Supplier - Clinic/Group Practice | 9234034729 |
Receives reassigned benefits from 210 practitioners Practice locations: Bryn Mawr, PA; Media, PA; Paoli, PA; Wynnewood, PA; Wynnwood, PA |
National Provider Directory
Locations
11 S Church St
West Chester, PA 19382
Phone (484) 337-3583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301-1763
Mailing address
56 W Main St Ste 203
Christiana, DE 19702-1500
Phone (302) 444-4733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001019000 | Other | PA | IBC |
| 173870000 | Other | PA | KEYSTONE HEALTH EAST |
| 191510 | Other | PA | PERSONAL CHOICE |
| 0001107000 | Other | PA | IBC |
| 0001101000 | Other | PA | IBC |
| 0016139730026 | Medicaid | PA | |
| 20020291 | Other | PA | AMERIHEALTH MERCY |
| 191510 | Other | PA | BLUE SHIELD |
| 0016139730025 | Medicaid | PA | |
| 1043495 | Other | PA | KEYSTONE MERCY |
| 0016139730024 | Medicaid | PA |
Other providers in Paoli, PA
- Main Line Adult Counseling, LLC
- Main Line Cardiology Associates PC
- Main Line Cardiology Associates, PC
- Main Line Clinical Laboratories
- Main Line Ear, Nose & Throat, PC
- Main Line Gastroenterology Associates, PC
- Main Line Hand Center LLC
- Main Line Hospitals, Inc.
- Main Line Hospitals, Inc.
- Main Line Internal Medicine LLC
All providers in Paoli, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.