Dr Edward Jew III Internal Medicine

Key facts

NPI: 1669931333
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
Legal business name: DR EDWARD JEW III INTERNAL MEDICINE
Practice address: 575 Coal Valley Rd Ste 502
Jefferson Hills, PA 15025-3729
Phone: (412) 267-6307
Fax: (412) 267-6309
NPI assigned: Mar 13, 2019
Organization subpart: No

Authorized official

Name: Joan Catherine Grimm
Title: Manager
Phone: (412) 267-6307

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Edward Walter Jew III, MD Internal Medicine Physician · Jefferson Hills, PA · NPI 1659483709

Medicare reassignment NPD INTERNAL MEDICINE · PA

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
39D2034985	Dr Edward Jew III Internal Medicine 575 Coal Valley Road, South Hills Med Office BLDG, Jefferson Hills, PA 15025	Certificate of waiver	Jan 8, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20190610001054	PA	Part B Supplier - Clinic/Group Practice	9032442975	Receives reassigned benefits from 1 practitioner Practice locations: Jefferson Hills, PA

National Provider Directory

Locations

575 Coal Valley Rd
Ste 502
Jefferson Hls, PA 15025
Phone (412) 267-6307

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X			Yes

Addresses

Primary practice location

575 Coal Valley Rd Ste 502
Jefferson Hills, PA 15025-3729

Mailing address

575 Coal Valley Rd Ste 502
Jefferson Hills, PA 15025-3729
Phone (412) 267-6307

Other providers in Jefferson Hills, PA

All providers in Jefferson Hills, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.