Organization Active NPI

Gynecology Specialists of Philadelphia LLC

  • Obstetrics Physician
  • Philadelphia, PA
National Provider Identifier
1366502445
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
GYNECOLOGY SPECIALISTS OF PHILADELPHIA LLC
Practice address
51 N 39TH St
Mob 340
Philadelphia, PA 19104-2640
Phone
(215) 662-9775
NPI assigned
Dec 11, 2006
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Dr. Sonya Lee, MDNPI 1013944073
Title
President
Phone
(215) 662-9783

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
Obstetrics Physician 207VX0000X NU Primary

Addresses

Primary practice location

51 N 39TH St
Mob 340
Philadelphia, PA 19104-2640

Mailing address

51 N 39TH St
Mob 340
Philadelphia, PA 19104-2640
Phone (215) 662-9783

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000207 PA Part B Supplier - Clinic/Group Practice 9931207875 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1003007Gynecology Specialists51 N 39TH Street, Philadelphia, PA 19104Provider-performed microscopyAug 19, 2026

National Provider Directory

National Provider Directory

Locations

1800 Lombard St
Ste 601
Philadelphia, PA 19146
Phone (215) 893-4120

823 S 9th St
Fl 1
Philadelphia, PA 19147
Phone (215) 662-9775

823 S 9th St
Fl First
Philadelphia, PA 19147

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1366502445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "address_2": "MOB 340",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "address_2": "MOB 340",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY SPECIALISTS OF PHILADELPHIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-662-9783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.