JENNERSVILLE RADIOLOGY, P.C – NPI #1346240256
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JENNERSVILLE RADIOLOGY, P.C is a radiologist located in WEST GROVE, PA. NPPES has assigned the NPI number 1346240256 to JENNERSVILLE RADIOLOGY, P.C on July 21, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNERSVILLE RADIOLOGY, P.C below.

NPI Profile for
JENNERSVILLE RADIOLOGY, P.C

NPI Number
1346240256
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JENNERSVILLE RADIOLOGY, P.C
Primary location
1015 W BALTIMORE PIKE
WEST GROVE, PA 19390-9459
Phone: (610) 372-4957 Fax:
Mailing address
2 MERIDIAN BLVD
2ND FLOOR
WYOMISSING, PA 19610-3202
Phone: (610) 372-4957 Fax:
Organization Subpart
No
Authorized Official
TRACY CARMELLINI
HEAD DOCTOR
Phone: (610) 372-4957
Updated
Identifiers

Identifiers for JENNERSVILLE RADIOLOGY, P.C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA0019412210001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 PA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.