Jennifer B Coren, DO
Individual provider Active NPI Pediatrics Physician · Hatboro, PA
NPI 1851496673 · NPPES record last updated Jul 24, 2021
Key facts
- NPI
- 1851496673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- OS013183 (PA)
- Practice address
- 483 E County Line Rd
Hatboro, PA 19040-1204 - Phone
- (215) 441-5670
- Fax
- (215) 441-5661
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061214000010 | PA | Practitioner - Pediatric Medicine | 1759380009 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS013183 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hatboro Pediatrics, PC | Pediatrics | Current |
Accepting new patients |
Locations
483 E County Line Rd
Warminster, PA 18974
Phone (215) 441-5670
Interoperability endpoints
- drjcoren@hatboropediatrics.opdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS013183 | PA | Yes |
Addresses
Primary practice location
483 E County Line Rd
Hatboro, PA 19040-1204
Mailing address
483 E County Line Rd
Hatboro, PA 19040-1204
Phone (215) 441-5670
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017137480001 | Medicaid | PA |
Other providers in Hatboro, PA
- Collaborative Anesthesia Services LLC
- Cathy A Colt
- Emma Marie Convery
- Kelly M Conway
- Corecomp RX LLC
- Nicole Ann Corradino
- County Line Pharmacy Inc
- Jeanne Marie Coviello
- Samuel E Cramek
- Marielle D'Imperio
All providers in Hatboro, PA · Pediatrics 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 Jul 24, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.