Individual provider Active NPI

Deborah A Driscoll, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1417987272
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD033001E Issued in PA
Practice address
3400 Spruce St
5 Dulles Building
Philadelphia, PA 19104-4206
Phone
(215) 662-3232
NPI assigned
Jul 4, 2006
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X MD033001E PA
Obstetrics & Gynecology Physician 207V00000X MD033001E PA Primary

Addresses

Primary practice location

3400 Spruce St
5 Dulles Building
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce St
5 Dulles Building
Philadelphia, PA 19104-4206
Phone (215) 662-3232

Other identifiers 2

IdentifierTypeStateIssuer
001087366MedicaidPA
6985700MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110309000078 PA Practitioner - Obstetrics/Gynecology 8729260971 Reassigns benefits to 1 organization
I20120523000520 NJ Practitioner - Obstetrics/Gynecology 8729260971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3701 Market St 3Rd Floor
Penn OB/GYN Associates
Philadelphia, PA 19104-5502
Phone (215) 662-6035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033001EPAMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group Maternal & Fetal Medicine CurrentSince May 1, 2015 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Mar 18, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince Jul 24, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Nov 19, 2020 Accepting new patients
Princeton Healthcare Provider Group LLC Maternal & Fetal Medicine CurrentSince Mar 18, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Apr 4, 2012 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Maternal & Fetal Medicine CurrentSince Jul 24, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians Maternal & Fetal Medicine CurrentSince Apr 4, 2012 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Clinical Specialty Associates PastSince Apr 14, 2025 Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 250
Cherry Hill, NJ 08003
Phone (856) 429-0400

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840

5 Plainsboro Rd
Ste 180
Plainsboro, NJ 08536
Phone (215) 662-2970

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

800 Walnut St
Fl 11
Philadelphia, PA 19107
Phone (215) 573-8886

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1417987272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "5 DULLES BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "5 DULLES BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "PA",
            "license": "MD033001E",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD033001E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001087366",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6985700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.