Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinical Nephrology Assoc Inc PC

Organization Interventional Cardiology Physician · NPI 1225576978

Clinical Nephrology Assoc Inc PC is an Interventional Cardiology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

235 N Broad St Ste 100
Philadelphia, PA 19107
Phone: (215) 568-6822
Fax: (215) 568-6833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 22381501 (PA)
Nephrology Physician Taxonomy 207RN0300X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 22381501 (PA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 22381501 (PA)

Record details

NPI number1225576978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Maximenko — Facility Administrator · (215) 568-6822
Other names Metro Vascular Center; Metro Vascular Center
NPI enumeratedFebruary 2, 2017
Last updated in NPPESJuly 25, 2018
Mailing address235 N Broad St, Suite 100, Philadelphia, PA 19107-1511

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