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STACEY L JERONIS MD NPI 1508854704


NPI Information

NPI: 1508854704
Provider Name: STACEY L JERONIS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: TEMPLE FACULTY PRACTICE PLAN INC

PECOS Registration: Yes

Address:
3401 N BROAD ST
7TH FL OUT PATIENT BLDG
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-3008
Get Directions

Stacey L Jeronis, MD is an obstetrics gynecology in Philadelphia, PA with 24 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Stacey L Jeronis, MD NPI is 1508854704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2000

The provider's business location address is:

3401 N BROAD ST
7TH FL OUT PATIENT BLDG
PHILADELPHIA, PA
ZIP 19140-103
Phone: (215) 707-3008
Fax: (215) 707-1387

The NPI 1508854704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 10/11/2005 and was last updated on 3/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMD423048PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I14438MEDICARE UPIN
2082437MEDICARE ID-TYPE UNSPECIFIED
31011483010001MEDICAIDPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.