Mary Kathryn Woltjen, CNM CRNP RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

TP004106G Issued in PA

Practice address

7604 Central Ave
Suite 101
Phila, PA 19111-2433

Phone

(215) 745-8989

Fax

(215) 745-9072

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Gerner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

Practice roles

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.

• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932185576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 UNRUH AVE",
            "address_2": "2ND FL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191114709",
            "telephone_number": "215-214-1094",
            "fax_number": "215-214-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112433",
            "telephone_number": "215-745-8989",
            "fax_number": "215-745-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTJEN",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "CNM CRNP RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN279256L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP004106G",
            "primary": true
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "PA",
            "license": "MW008564L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GERNER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amelia M Withington, M.D.
• Wjo Inc. (South Philly Family Practice and Medical Center)
• WM. J. Dennis MD
• Andrea Woll, MD
• Bruce S Wollman, PT
• Zachary William Wolverton, D.C.
• Brian Patrick Womelsdorf, ATC
• Jeniffer K Woo, B.A.
• Deborah Woolf
• Work Injury RX One LLC (Wirx Pharmacy)

• Nurse Practitioner in Phila, PA
• Providers in Phila, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.