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Jeanes Radiology Associates LLC

Diagnostic Radiology Physician in Philadelphia, PA · enumerated 2006 · authorized official Jamie Williams, Credentialing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639110240

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Registry record

Entity type Organization (Type 2)
Legal business name Jeanes Radiology Associates LLC
Other name <Unavail>
Practice address 1619 Grant Ave, Grant Plaza II, Philadelphia, PA, 19115
Fax (215) 677-0980
Enumeration date Jun 8, 2006
Last updated in NPPES Apr 20, 2026

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jamie Williams
Title Credentialing Supervisor

Other identifiers

Identifier Type State Issuer
001221614 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jeanes Radiology Associates LLC?
The NPI for Jeanes Radiology Associates LLC is 1639110240, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jeanes Radiology Associates LLC?
NPPES lists Jamie Williams (Credentialing Supervisor) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-20.