JADRY GRUEN MD NPI 1558898452

NPI Information

  • NPI: 1558898452
  • Provider Name: JADRY GRUEN, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E LANCASTER AVENUE
    HEART PAVILION MEZZANINE LEVEL
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (484) 476-1000

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NPI Details

Jadry Gruen, MD is a cardiovascular disease internal medicine in Wynnewood, PA with 9 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jadry Gruen, MD NPI is 1558898452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

100 E LANCASTER AVENUE
HEART PAVILION MEZZANINE LEVEL
WYNNEWOOD, PA
ZIP 19096-450
Phone: (484) 476-1000
Fax: (484) 476-9000

The NPI 1558898452 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 enumeration date for this NPI number is 5/23/2017 and was last updated on 9/3/2025.

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 Medicine64923CONNECTICUTNo
2207RC0000XInternal MedicineCardiovascular DiseaseMD475795PENNSYLVANIAYes

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: 11/21/2025

NPI Synchronization or Removal

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