NPIMap

Organization Active NPI

Main Line Fertility Clinic PC

  • Reproductive Endocrinology Physician
  • Bryn Mawr, PA
National Provider Identifier
1932834082
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
MAIN LINE FERTILITY CLINIC PC
Practice address
825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234
Phone
(610) 527-0800
NPI assigned
Jul 22, 2022
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Lisa Pearson
Title
Revenue Cycle MGR
Phone
(267) 843-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NU Primary

Addresses

Primary practice location

825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234

Mailing address

4828 Loop Central Dr Ste 900
Houston, TX 77081-2220
Phone (484) 645-9700

Other practice location 1

2210 Ridgewood Rd Ste 100
Wyomissing, PA 19610-1288
Phone (484) 258-2880

Other practice location 2

932 Pine St
Philadelphia, PA 19107-6213
Phone (215) 398-1733

Other practice location 3

130 S Bryn Mawr Ave # D
Bryn Mawr, PA 19010-3121
Phone (610) 527-0801

Other practice location 4

915 Old Fern Hill Road
Bldg B Suite 101
West Chester, PA 19380
Phone (610) 840-1500

National Provider Directory

National Provider Directory
Tax ID family
Main Line Fertility Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 S Bryn Mawr Ave
#D
Bryn Mawr, PA 19010
Phone (610) 527-0801

825 Old Lancaster Rd
Ste 170
Bryn Mawr, PA 19010
Phone (610) 527-0800

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

4828 Loop Central Dr
Ste 900
Houston, TX 77081

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1932834082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 LOOP CENTRAL DR STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812220",
            "telephone_number": "484-645-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 170",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103234",
            "telephone_number": "610-527-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Ridgewood Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101288",
            "country_code": "US",
            "telephone_number": "484-258-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Pine St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191076213",
            "country_code": "US",
            "telephone_number": "215-398-1733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Bryn Mawr Ave # D",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "610-527-0801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Old Fern Hill Road",
            "address_2": "Bldg B Suite 101",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "19380",
            "country_code": "US",
            "telephone_number": "610-840-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIN LINE FERTILITY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "REVENUE CYCLE MGR",
        "authorized_official_telephone_number": "267-843-0767"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.