NPIMap

Organization Active NPI

Main Line Emergency Med Associates LLC

  • Emergency Medicine Physician
  • Paoli, PA
National Provider Identifier
1316919368
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 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
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Steven MoonblattNPI 1609896711
Title
President
Phone
(215) 990-7578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

56 W Main St
Ste 203
Christiana, DE 19702

307 Ruthar Dr
Newark, DE 19711
Phone (302) 224-5678

11 S Church St
West Chester, PA 19382
Phone (484) 337-3583

Practitioners & affiliated clinicians

Practitioners 289

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 289

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1316919368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W MAIN ST STE 203",
            "city": "CHRISTIANA",
            "state": "DE",
            "postal_code": "197021500",
            "telephone_number": "302-444-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-648-1043",
            "fax_number": "610-648-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE EMERGENCY MED ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MOONBLATT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-990-7578"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.