Individual provider Active NPI

Joan H Zeidman, M.D.

  • Obstetrics & Gynecology Physician
  • Rosemont, PA
National Provider Identifier
1699822676
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD043259E Issued in PA
Practice address
919 Conestoga Road
Suite 104 Building Number 1
Rosemont, PA 19010
Phone
(610) 525-6400
NPI assigned
Jan 4, 2007
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD043259E PA Primary

Addresses

Primary practice location

919 Conestoga Road
Suite 104 Building Number 1
Rosemont, PA 19010

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other identifiers 5

IdentifierTypeStateIssuer
4233992OtherPAAETNA USHEALTHCARE
0513068000OtherPAKEYSTONE HMO AMERIHEALTH
3716863OtherPAAETNA HMO
0513068000OtherPAPERSONAL CHOICE
679020OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joan.zeidman@axia.eclinicaldirectplus.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000851 PA Practitioner - Obstetrics/Gynecology 1254306707 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jun 1, 2018 Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology PastSince Jul 4, 2021 Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

120 Valley Green Ln
Ste 600
King of Prussia, PA 19406
Phone (610) 525-3225

3855 West Chester Pike
Ste 305
Newtown Square, PA 19073
Phone (215) 732-5590

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

Interoperability endpoints

  • Direct secure messaging: joan.zeidman@axia.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1699822676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA ROAD",
            "address_2": "SUITE 104 BUILDING NUMBER 1",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDMAN",
        "first_name": "JOAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD043259E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "4233992",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO  AMERIHEALTH",
            "identifier": "0513068000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3716863",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0513068000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "679020",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joan.zeidman@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Conestoga Road",
            "address_2": "Suite 104 Building number 1",
            "city": "Rosemont",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosemont, PA

Sources for this page

Verify at the official NPI Registry.