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

Hedy Lydia Siedarta

Individual provider Nurse Practitioner · NPI 1659091437

Hedy Lydia Siedarta is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

6232 Market St
Philadelphia, PA 19139-2922
Phone: (215) 383-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP026217 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP026217 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP026217 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP026217 (PA)

Record details

NPI number1659091437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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