Active NPI
Belen Quereda Bernabeu
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MT213078
- Practice address
- 117 S 11TH St
Room 204 Pavillion
Philadelphia, PA 19107-4949 - Phone
- (215) 503-3876
- NPI assigned
- Apr 11, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MT213078 | PA | Primary |
Addresses
Primary practice location
117 S 11TH St
Room 204 Pavillion
Philadelphia, PA 19107-4949
Mailing address
2200 Benjamin Franklin Pkwy
Apt N301
Philadelphia, PA 19130-3714
Phone (267) 370-4739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-4570
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Paoli Hospital
- Riddle Memorial Hospital
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Pathology Associates, PC | Current | Accepting new patients |
Locations
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Organizations & group practices 1
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Bryn Mawr, PA
- NPI 1548260482
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1427581982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BENJAMIN FRANKLIN PKWY",
"address_2": "APT N301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303714",
"telephone_number": "267-370-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S 11TH ST",
"address_2": "ROOM 204 PAVILLION",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074949",
"telephone_number": "215-503-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEREDA BERNABEU",
"first_name": "BELEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MT213078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Joseph V. Queenan, MD
- Queens Village Family Services LLC
- Alexander Queiroz
- Nicole Quenzer, CRNP
- Tara Elizabeth Quenzer, FNP-C, CRNP
- Quest Community Home Health Agency Inc
- Quest Community Home Health Agency LLC
- Quest Community Home Health LLC
- Quest Community Rehabilitation Home Health Agency Inc.
- Quest Rehabilitation Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.
- 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.