Individual provider Active NPI

Julianne Newcomer Qualtieri, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1932303419
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
207ZP0105X Issued in PA
Practice address
800 Spruce St
Philadelphia, PA 19107
Phone
(215) 829-3000
Fax
(215) 829-7564
NPI assigned
Jun 11, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD462723 PA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 207ZP0105X PA Primary

Addresses

Primary practice location

800 Spruce St
Philadelphia, PA 19107

Mailing address

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-3000

Other practice location 1

234 Goodman St
Cincinnati, OH 45219
Phone (513) 584-7284

Other practice location 2

234 Goodman St
Cincinnati, OH 45219
Phone (513) 584-7284

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
I20180312002092 PA Practitioner - PathologyPractitioner - Hematology 3870757891 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Hematology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444

559 W Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207ZP0105XPAMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Jefferson University Physicians Anatomic Pathology & Clinical Pathology CurrentSince Jan 10, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Jun 1, 2022 Accepting new patients
University of Penn-Medical Group Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2018 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 1, 2018 Accepting new patients
Fornance Physician Services, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2022 Accepting new patients

Locations

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

3400 Spruce St
Fl 7
Philadelphia, PA 19104
Phone (215) 615-5234

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1932303419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3000",
            "fax_number": "215-829-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-829-3000",
            "fax_number": "215-829-7564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-584-7284",
            "fax_number": "513-584-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-584-7284",
            "fax_number": "513-584-3807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALTIERI",
        "first_name": "JULIANNE",
        "middle_name": "NEWCOMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD462723",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "PA",
            "license": "207ZP0105X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.