Matthew Kelly Janssen, M.D.
Obstetrics & Gynecology, Maternal & Fetal Medicine in Philadelphia, PA. Individual provider (NPI-1).
Details
- NPI
- 1215399472
- Entity type
- Individual (NPI-1)
- Name
- Matthew Kelly Janssen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2016
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | 25MA11848600 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
800 Spruce StPhiladelphia, PA 19107-6130
Phone 720-201-6450
Mailing address
800 Spruce StPhiladelphia, PA 19107-6192
Phone 215-829-5145
Other practice locations
Mullica Hill, NJ 08062-4452
Phone 856-508-3625
Philadelphia, PA 19104-4238
Phone 215-662-2982
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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