Active NPI
Dr Edward Jew III Internal Medicine
- Internal Medicine Physician
- Jefferson Hills, PA
National Provider Identifier
1669931333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
- Last updated
- Mar 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joan Catherine Grimm
- Title
- Manager
- Phone
- (412) 267-6307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown 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 | Certificate of waiver | Jan 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
575 Coal Valley Rd
Ste 502
Jefferson Hls, PA 15025
Phone (412) 267-6307
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Jefferson Hills, PA
- NPI 1659483709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552435200000",
"number": "1669931333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 COAL VALLEY RD STE 502",
"city": "JEFFERSON HILLS",
"state": "PA",
"postal_code": "150253729",
"telephone_number": "412-267-6307",
"fax_number": "412-267-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 COAL VALLEY RD STE 502",
"city": "JEFFERSON HILLS",
"state": "PA",
"postal_code": "150253729",
"telephone_number": "412-267-6307",
"fax_number": "412-267-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR EDWARD JEW III INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A",
"authorized_official_last_name": "GRIMM",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "412-267-6307"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson Hills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.