Individual provider Active NPI

Sheryene N Tejeda, MD, PHD, MHS, MFS

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1477209591
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Practice address
1435 Walnut St Ste 501B
Philadelphia, PA 19102-3219
Phone
(833) 363-6436
Fax
(833) 363-3466
NPI assigned
Feb 28, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X FL Primary
Clinical Medical Laboratory 291U00000X NU
Reproductive Endocrinology Physician 207VE0102X RE7719 FL

Addresses

Primary practice location

1435 Walnut St Ste 501B
Philadelphia, PA 19102-3219

Mailing address

1435 Walnut St Ste 501B
Philadelphia, PA 19102-3219
Phone (833) 363-6436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RE7719FLMDReproductive Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1477209591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WALNUT ST STE 501B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023219",
            "telephone_number": "833-363-6436",
            "fax_number": "833-363-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 WALNUT ST STE 501B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023219",
            "telephone_number": "833-363-6436",
            "fax_number": "833-363-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "SHERYENE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MHS, MFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "RE7719",
            "primary": false
        }
    ],
    "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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.