Individual provider Active NPI

Mary Catherine Abruzzo, APN

  • Nurse Practitioner
  • Broomall, PA
National Provider Identifier
1972237840
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP029938 Issued in PA
Practice address
1991 Sproul Rd Ste 130
Broomall, PA 19008-3512
Phone
(484) 565-1293
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01337200 NJ
Family Nurse Practitioner 363LF0000X SP029938 PA
Nurse Practitioner 363L00000X SP029938 PA Primary

Addresses

Primary practice location

1991 Sproul Rd Ste 130
Broomall, PA 19008-3512

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336

Other practice location 1

72 Alexander Ave
Lambertville, NJ 08530-2200
Phone (609) 397-3535

Other names 1

  • Mary Catherine Gavin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220830002261 NJ Practitioner - Nurse Practitioner 6103200829 Reassigns benefits to 2 organizations
I20250421001119 PA Practitioner - Nurse Practitioner 6103200829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

1991 Sproul Rd
Suite 130
Broomall, PA 19008-3512
Phone (484) 565-1293

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP029938PAMDNurse Practitioner
26NJ01337200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Sep 26, 2022 Accepting new patients
Hunterdon Medical Center CurrentSince Sep 26, 2022 Accepting new patients
Hunterdon Medical Center CurrentSince Sep 26, 2022 Accepting new patients
Main Line Healthcare Nurse Practitioner CurrentSince May 24, 2025 Accepting new patients
Main Line Healthcare PastSince Apr 20, 2025 Accepting new patients

Locations

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

72 Alexander Ave
Lambertville, NJ 08530
Phone (609) 397-3535

200 Frenchtown Rd
Milford, NJ 08848
Phone (908) 995-2251

1991 Sproul Rd
Ste 130
Broomall, PA 19008
Phone (484) 421-1669

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

Organizations & group practices 5

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.

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1972237840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 SPROUL RD STE 130",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083512",
            "telephone_number": "484-565-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Alexander Ave",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "NJ",
            "postal_code": "085302200",
            "country_code": "US",
            "telephone_number": "609-397-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRUZZO",
        "first_name": "MARY CATHERINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01337200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029938",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY CATHERINE",
            "last_name": "GAVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.