Active NPI
Katelyn Marie Gdovin, PA-C
- Physician Assistant
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 225 E City Ave
Bala Cynwyd, PA 19004-1704 - Phone
- (800) 533-3669
- NPI assigned
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
225 E City Ave
Bala Cynwyd, PA 19004-1704
Mailing address
225 E City Ave
Bala Cynwyd, PA 19004-1704
Other practice location 1
1380 Easton Rd
Warrington, PA 18976-1818
Phone (215) 491-5057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
225 E City Ave
Suite 109
Bala Cynwyd, PA 19004-1724
Phone (215) 503-3838
2301 S Broad St
Philadelphia, PA 19148-3542
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc. | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
225 E City Line Ave
Ste 109
Bala Cynwyd, PA 19004
Phone (215) 503-3838
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1134511157
-
- Family Medicine Physician
- East Norriton, PA
- NPI 1710355029
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1033575352
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1982139739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CITY AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CITY AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041704",
"telephone_number": "800-533-3669"
}
],
"practiceLocations": [
{
"address_1": "1380 Easton Rd",
"address_purpose": "LOCATION",
"city": "Warrington",
"state": "PA",
"postal_code": "189761818",
"country_code": "US",
"telephone_number": "215-491-5057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GDOVIN",
"first_name": "KATELYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.