EINSTEIN PRACTICE PLAN, INC. (NPI# 1083082523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083082523 |
| Entity Type | Organization |
| Organization Name | EINSTEIN PRACTICE PLAN, INC. |
| Other Organization Name | EINSTEIN PRACTICE PLAN CRNP |
| Practice Address |
5501 Old York Rd Korman 202 Philadelphia PA 19141-3018 |
| Practice Telephone | 2154564694 |
| Practice Fax Number | 2154565926 |
| Mailing Telephone | 2154564694 |
| Mailing Fax Number | 2154565926 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | JENNIFER PROVASNIK (SUPERVISOR) |
| Authorized Official Telephone | 2154564694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Einstein Practice Plan CRNP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439367 | Einstein Practice Plan, Inc. | Dentist | 5501 Old York Rd Fl Paley2, Philadelphia, PA 19141-3018 | 2018-06-05 |
| 1265923072 | Einstein Practice Plan, Inc. | Internal Medicine | 5401 Old York Rd Ste 505, Philadelphia, PA 19141-3047 | 2018-05-29 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1518451681 | Einstein Practice Plan, Inc. | Obstetrics & Gynecology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2018-06-21 |
| 1205246576 | Einstein Practice Plan, Inc. | Anesthesiology | 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 | 2014-05-07 |
| 1013263649 | Einstein Practice Plan, Inc. | Clinical Neuropsychologist | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2012-08-01 |
| 1992940902 | Einstein Practice Plan, Inc. | Clinic/Center | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2008-12-04 |
| 1316099898 | Einstein Practice Plan, Inc. | Clinic/Center | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-01-17 |
| 1154419166 | Einstein Practice Plan, Inc. | Ophthalmology | 5401 Old York Rd, Suite 201, Philadelphia, PA 19141-3030 | 2006-10-11 |
| 1922047463 | Einstein Practice Plan, Inc. | Psychiatry & Neurology | 5401 Old York Rd, Suite 400, Philadelphia, PA 19141-3030 | 2006-06-06 |
| Street Address |
5501 OLD YORK RD KORMAN 202 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962331 | Sean Janzer | Internal Medicine | 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 | 2005-06-17 |
| 1740897594 | Tajmia G Mcintosh | Nurse Practitioner | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-25 |
| 1104433200 | Juan Pablo Solano Romero | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-23 |
| 1205442233 | Rasha Elrefai | Pediatrics | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-15 |
| 1124633847 | Maria Carolina Musri | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-10 |
| 1295345916 | Bakhtawer Siraj | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-08-06 |
| 1699383091 | Sreenagavishnuvardha Motupalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-21 |
| 1750909222 | Raja Srinivas Boddepalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-10 |
| 1306463518 | Atif Iftikhar Nehvi | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-03 |
| 1821615345 | Paulina Henriquez Rojas | Psychiatry & Neurology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| 1801411855 | Betty Sophia Glauberzon | Nurse Practitioner | 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 | 2020-06-15 |
| 1356966717 | Lorraine Denise Hicks | Nurse Practitioner | 7923 Gilbert St, Philadelphia, PA 19150-2505 | 2020-06-11 |
| 1740813682 | Marina Rakitskaya | Nurse Practitioner | 9816 Bonner St, Philadelphia, PA 19115-2304 | 2020-02-19 |
| 1841755014 | Kristen M Wright | Nurse Practitioner | 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 | 2019-02-01 |
| 1649745241 | Chermal Rondell Moore | Nurse Practitioner | 1017 W Beacon St, Philadelphia, MS 39350-3218 | 2018-10-10 |
| 1588148175 | Eileen Mangabat Hummel | Nurse Practitioner | 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 | 2018-09-19 |
| 1225532344 | Stacy Lynn Brix | Nurse Practitioner | 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 | 2018-03-22 |
| 1275037087 | Esther Andreessen | Nurse Practitioner | 3457 Eden St, Philadelphia, PA 19114-3605 | 2018-03-19 |
| 1265931570 | Maia Lindsey Francis | Nurse Practitioner | 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 | 2018-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.