Individual provider Active NPI

Jane Bennett Porcelan, MD

  • Obstetrics & Gynecology Physician
  • Bryn Mawr, PA
National Provider Identifier
1922054568
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD033106E Issued in PA
Practice address
135 S Bryn Mawr Ave Ste 350
Bryn Mawr, PA 19010-3129
Phone
(619) 525-3225
Fax
(610) 642-5148
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD033106E PA
Obstetrics & Gynecology Physician 207V00000X MD033106E PA Primary

Addresses

Primary practice location

135 S Bryn Mawr Ave Ste 350
Bryn Mawr, PA 19010-3129

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jane.porcelan@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
I20041130000300 PA Practitioner - Obstetrics/Gynecology 3375430481 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033106EPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jun 26, 2018 Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Jul 3, 2010 Accepting new patients
Professional Anesthesia Services of North America P.C. Past Accepting new patients
Obstetrics & Gynecology Fund Obstetrics & Gynecology Past Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Jul 4, 2021 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

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

135 S Bryn Mawr Ave
Ste 350
Bryn Mawr, PA 19010
Phone (610) 525-3225

140 W Germantown Pike
Ste 260
Plymouth Meeting, PA 19462
Phone (610) 828-1078

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

100 E Lancaster Ave
Ste 433W
Wynnewood, PA 19096
Phone (610) 627-4170

100 E Lancaster Ave
Ste 301
Wynnewood, PA 19096
Phone (484) 476-4650

100 E Lancaster Ave
Ste 433
Wynnewood, PA 19096
Phone (610) 627-4170

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: jane.porcelan@axia.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1922054568",
    "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": "135 S BRYN MAWR AVE STE 350",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103129",
            "telephone_number": "619-525-3225",
            "fax_number": "610-642-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCELAN",
        "first_name": "JANE",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD033106E",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD033106E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.porcelan@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "135 S Bryn Mawr Ave Ste 350",
            "city": "Bryn Mawr",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190103129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.