MDVIP MEDICAL GROUP PA LLC NPI 1043753213

NPI Information

  • NPI: 1043753213
  • Provider Name: MDVIP MEDICAL GROUP PA LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 39D0941217
  • Address: 200 LAKESIDE DR STE 222
    HORSHAM, PA
    ZIP 19044
  • Phone: (215) 346-2821

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NPI Details

MDVIP MEDICAL GROUP PA LLC is an internal medicine in Horsham, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MDVIP MEDICAL GROUP PA LLC NPI is 1043753213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 LAKESIDE DR STE 222
HORSHAM, PA
ZIP 19044-321
Phone: (215) 346-2821
Fax: (215) 346-2823

The provider's authorized official is Andrea Klemes .
The authorized official title is Sole Member and has the following contact phone number (561) 982-4300.

The CLIA number assigned to this NPI record is 39D0941217 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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