Individual provider Active NPI

Jeremy Zwillenberg, DO

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922368232
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS017423 Issued in PA
Practice address
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone
(216) 612-5161
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS017423 PA Primary
Internal Medicine Physician 207R00000X OS017423 PA

Addresses

Primary practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Mailing address

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (216) 612-5161

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
I20151216000334 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1355642315 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-2100

Hospital & facility affiliations

  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Feb 15, 2022 Accepting new patients
West Grove Clinic Company LLC CurrentSince Nov 1, 2019 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine Current Accepting new patients
HR Physician Services Internal Medicine Current Accepting new patients
Tower Health Urgent Care, LLC Emergency Medicine CurrentSince Mar 29, 2021 Accepting new patients
Robert Packer Hospital CurrentSince Mar 21, 2022 Accepting new patients
HR Physician Services Internal Medicine CurrentSince Oct 31, 2023 Accepting new patients
Pottstown Clinic Company LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 1, 2020 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 24, 2024 Accepting new patients
On Demand Urgent Care Group PC CurrentSince Oct 4, 2015 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Feb 15, 2022 Accepting new patients
HR Physician Services Emergency Medicine CurrentSince Oct 31, 2023 Accepting new patients
Phoenixville Clinic Company LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
Robert Packer Hospital CurrentSince Mar 21, 2022 Accepting new patients
West Grove Clinic Company LLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Robert Packer Hospital Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

1 Guthrie Sq
Ste B
Sayre, PA 18840
Phone (570) 888-6666

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: zwillenj@yourcarecommunity.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1922368232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "216-612-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "216-612-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWILLENBERG",
        "first_name": "JEREMY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS017423",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.