Jamie Vincenti Redwing, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD443714 Issued in PA

Practice address

7979 State Rd
Black Doctors Consortium - Cedar BLDG
Philadelphia, PA 19136-3407

Phone

(267) 501-1627

Fax

(267) 817-3031

NPI assigned

Aug 9, 2005

Reactivated

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jredwing@spsl-pa.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Avenues Recovery Medical Center at Valley Forge

  • Addiction Medicine (Family Medicine) Physician
  • Norristown, PA
  • NPI 1326622069
  Medicare reassignment
• Dr Ala Stanford Center for Health Equity

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1104635515
  NPD (past)
• Dr Ala Stanford Center for Health Equity

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1194481275
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1730180316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 STATE RD",
            "address_2": "BLACK DOCTORS CONSORTIUM - CEDAR BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363407",
            "telephone_number": "267-501-1627",
            "fax_number": "267-817-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 STATE RD",
            "address_2": "BLACK DOCTORS CONSORTIUM - CEDAR BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363407",
            "telephone_number": "267-501-1627",
            "fax_number": "267-817-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWING",
        "first_name": "JAMIE",
        "middle_name": "VINCENTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD443714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lya P Redmond, M.A.
• Peter Dean Redmond, D.C.
• Ronald Philip Rednor, M.D.
• Adriel Salgado Redondo, PHARMD
• Donald Thomas Noah Redstone-Brophy, RN
• Redwood Beauty & Wellness
• Irene Reeb, CRNA
• Jenna Reece, MD
• Lauren Elizabeth Reed-Guy, MD
• Kimeesha K. Reed-Walker

• Addiction Medicine (Family Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Addiction Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.