Active NPI
Jeffrey E Clemente, M.D.
- Family Medicine Physician
- Erie, PA
National Provider Identifier
1336477058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD437546
- Practice address
- 3822 Colonial Ave
Erie, PA 16506-3826 - Phone
- (814) 833-5653
- NPI assigned
- Nov 19, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD437546 | PA | Primary |
Addresses
Primary practice location
3822 Colonial Ave
Erie, PA 16506-3826
Mailing address
2860 Cardinal Dr
Erie, PA 16509-8032
Phone (814) 217-9349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD437546 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Urgent Care Medicine of New Jersey LLP | Current | Accepting new patients | |
| Saint Vincent Medical Education and Research Institute | Family Medicine | Past | Accepting new patients |
| Erie Physicians Network PC | Past | Accepting new patients |
Locations
1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170
415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363
1 Harmon Plz
Ste 1010
Secaucus, NJ 07094
Interoperability endpoints
- jeffrey.clemente.1@24114.direct.athenahealth.com
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.
-
- Emergency Care Clinic/Center
- Edgewater, NJ
- NPI 1477927754
-
- Multi-Specialty Clinic/Center
- Erie, PA
- NPI 1902844574
-
dba Albion Family Practice
- Family Medicine Physician
- Albion, PA
- NPI 1558462259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1336477058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 CARDINAL DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165098032",
"telephone_number": "814-217-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 COLONIAL AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165063826",
"telephone_number": "814-833-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTE",
"first_name": "JEFFREY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD437546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
- Clear Blue Holdings, Inc. (Senior Helpers of Erie)
- Clearview Psychiatry PLLC
- Karen Marie Cleary-Herman
- Cynthia M Cleaves
- Mark Clement
- Phoebe Clemente
- Sandy Tapuyao Clemente, MD
- Clinical Associates in Radiology Inc
- Clinical Practice of Lecom Institute for Successful Living (LECOM Clinical Practice Supplies)
- Clinical Practice of Lecom Institute for Successful Living (Rural Health Clinic of Wattsburg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.