Main Line Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN LINE HEALTHCARE

Practice address

3803 West Chester Pike
H BLDG Suite 160
Newtown Square, PA 19073-2333

Phone

(484) 337-1585

Fax

(484) 337-1410

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jenna Foote

Title

Manager

Phone

(484) 337-1667

Specialties & licenses 15

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations (25 of 253)

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Beaumont Retirement Services, Inc

  • Skilled Nursing Facility
  • Bryn Mawr, PA
  • NPI 1952308942

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Main Line Healthcare

  • Urgent Care Clinic/Center
  • Wynnewood, PA
  • NPI 1295214492
  NPPES parent name

Practitioners 2,166

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherin Sue Abraham, DO

  • Family Medicine Physician
  • Devon, PA
  • NPI 1740787175

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Mary Catherine Abruzzo, APN

  • Nurse Practitioner
  • Broomall, PA
  • NPI 1972237840
  Medicare reassignment Care Compare group NPD
• Katie Achtert, CNM

  • Advanced Practice Midwife
  • Media, PA
  • NPI 1346737707

  PA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Emilia O Adah, D. O

  • Internal Medicine Physician
  • Drexel Hill, PA
  • NPI 1902039621

  Internal Medicine, PA

  Medicare reassignment Care Compare group NPD
• Philip A Adelman, MD

  • Neurology Physician
  • Paoli, PA
  • NPI 1376594630

  Neurology, PA

  Medicare reassignment Care Compare group NPD
• Ezekiel Frank Adewale, D.O.

  • Hospitalist Physician
  • Media, PA
  • NPI 1225463920

  Internal Medicine, PA

  Medicare reassignment Care Compare group NPD
• Ritika Aggarwal

  • Family Medicine Physician
  • Media, PA
  • NPI 1184203903

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Utsav Aiya, MD

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1740806348

  Internal Medicine, PA

  Medicare reassignment Care Compare group NPD
• Ameer Musa Ajaj, MD

  • Family Medicine Physician
  • King of Prussia, PA
  • NPI 1154884112

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Dalea Al-Hawarri, M.D.

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1952697674

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Suzanne Ali Al-Said

  • Family Medicine Physician
  • Collegeville, PA
  • NPI 1871098038

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Hammad Aleem, MD

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1326508714

  Internal Medicine, PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1922077643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE",
            "address_2": "H BLDG SUITE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732333",
            "telephone_number": "484-337-1585",
            "fax_number": "484-337-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 WEST CHESTER PIKE",
            "address_2": "H BLDG SUITE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732333",
            "telephone_number": "484-337-1585",
            "fax_number": "484-337-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-337-1667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007723500075",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007723500121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Mahon, DO
• Diana Mahoney, LCSW
• Gioia Maiale, DPT
• Main Line Health Integrative and Functional Medicine
• Main Line Health Laboratories
• Tara Sherie Major, CRNP
• David A. Malone, D.M.D.
• Eric Robert Mankin, MD
• Navneet Kaur Mann, DO
• Allison B Manning, LPC

• All providers in Newtown Square, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.