Active NPI
Jacqueline Ewing, D.O.
- Family Medicine Physician
- Newtown Square, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS007580L
- Practice address
- 3855 W Chester Pike
Suite 300
Newtown Square, PA 19073-2304 - Phone
- (484) 427-8000
- Fax
- (484) 427-8020
- NPI assigned
- Jan 13, 2006
- Last updated
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007580L | PA | Primary |
| Family Medicine Physician | 207Q00000X | 25MB05811600 | NJ |
Addresses
Primary practice location
3855 W Chester Pike
Suite 300
Newtown Square, PA 19073-2304
Mailing address
3855 W Chester Pike
Suite 300
Newtown Square, PA 19073-2304
Phone (484) 427-8000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.
Practice addresses (Care Compare)
201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703
3855 W Chester Pike
Newton Square, PA 19073-2304
830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Family Medicine | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3855 West Chester Pike
Ste 300
Newtown Square, PA 19073
Phone (484) 337-2585
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1740269018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 W CHESTER PIKE",
"address_2": "SUITE 300",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732304",
"telephone_number": "484-427-8000",
"fax_number": "484-427-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 W CHESTER PIKE",
"address_2": "SUITE 300",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732304",
"telephone_number": "484-427-8000",
"fax_number": "484-427-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS007580L",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB05811600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.
- 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.