MEDICARE: TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1336926963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Provider Business Mailing Address
First Line	:	41 UNIVERSITY DR STE 300
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1873
Country	:	US
Telephone Number	:	734-343-2654
Fax Number	:	215-710-5181

Provider Business Practice Location Address
First Line	:	2813 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1421
Country	:	US
Telephone Number	:	215-335-6165
Fax Number	:	215-335-6166

Authorized Official
Title or Position	:	VP, FINANCE AND CFO
Name	:	KIMBERLY A CUMMINGS
Credential	:
Telephone Number	:	215-710-2508

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	09/27/2024

Similar Medicare Providers

1174564579 — DR. MICHAEL F. AVALLONE ASSOCIATES
Practice Location Address:

2813 COTTMAN AVE
PHILADELPHIA, PA
19149-1421

Practice Phone: 215-332-9666
Practice Fax: 267-672-8273

1770526758 — MICHAEL F AVALLONE JR. D.O.
Practice Location Address:

2813 COTTMAN AVE
PHILADELPHIA, PA
19149-1421

Practice Phone: 215-332-9666
Practice Fax: 215-332-1436

1386688935 — DAVID J SEVITSKI D.O.
Practice Location Address:

2813 COTTMAN AVENUE
PHILADELPHIA, PA
19149-1421

Practice Phone: 215-332-9666
Practice Fax: 215-332-1436

1942513825 — SPINAL REHAB NETWORK, INC.
Practice Location Address:

2813 COTTMAN AVE
PHILADELPHIA, PA
19149-1421

Practice Phone: 267-257-6279
Practice Fax: 215-546-1373

1417250689 — MS. DAISY SEDA
Practice Location Address:

1421 ELBRIDGE ST
PHILADELPHIA, PA
19149-2740

Practice Phone: 215-869-0272
Practice Fax:

1073916706 — LISA KASS CRNP
Practice Location Address:

2813 COTTMAN AVE
PHILADELPHIA, PA
19149-1421

Practice Phone: 215-332-9666
Practice Fax: 267-672-8274

Directions to “TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.