UNIVERSITY OF PENNSYLVANIA (NPI# 1205234382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205234382 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENNSYLVANIA |
| Other Organization Name | PENN DENTAL MEDICINE |
| Practice Address |
240 S 40th St Philadelphia PA 19104-6030 |
| Practice Telephone | 2158984615 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | DR. ALISA G KAUFFMAN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2157462944 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS038838 | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Penn Dental Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164736948 | University of Pennsylvania | General Acute Care Hospital | 125 S 31st St, Suite 2000, Philadelphia, PA 19104-3413 | 2010-08-04 |
| 1003209834 | University of Pennsylvania | General Acute Care Hospital | 422 Curie Blvd, 1009c Stellar Chance Laboratories, Philadelphia, PA 19104-4860 | 2015-03-18 |
| 1003175514 | University of Pennsylvania | Psychiatric Unit | 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104-5127 | 2012-05-04 |
| 1265690010 | University of Pennsylvania | General Acute Care Hospital | 3535 Market St, Suite 670, Philadelphia, PA 19104-3309 | 2008-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | University of Pennsylvania Alumni Club of Colorado | 1840 South Monroe Street, Denver, CO 80210 |
| Connecticut Business Registrations | UNIVERSITY OF PENNSYLVANIA ALUMNI CLUB OF FAIRFIELD COUNTY, INC. | 25 Waterville Road, Southport, CT 06490 |
| New York State Corporations | UNIVERSITY OF PENNSYLVANIA CLUB OF ROCHESTER, INC. | Nixon Hargrave Devans & Doyle, Clinton Square P.o. Box 1051, Rochester, Ny 14603 |
| Massachusetts Corporations | UNIVERSITY OF PENNSYLVANIA REGIONAL ADVISORY BOARD OF NEW E* | Herbert Carver, 56 Westgate Rd., Newton Centre, MA 02159 |
| System for Award Management (SAM) Entities | UNIVERSITY OF PENNSYLVANIA STUDENTS FEDERAL CREDIT UNION | 3401 Walnut St Ste 431a, Philadelphia, PA 19104-6228 |
| New York State Corporations | UNIVERSITY OF PENNSYLVANIA WESTCHESTER & ROCKLAND ALUMNI ASSOCIATION, INC. | Po Box 16, Millwood, Ny 10546 |
| Street Address |
240 S 40TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821034588 | Najeed Saleh | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2006-06-21 |
| 1164023800 | Nasim Levin | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-11-07 |
| 1992304497 | Meena Matloob | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-10-26 |
| 1851905905 | Nathan Yip | Specialist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-09-06 |
| 1730706334 | Jessie Jiang | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-06-30 |
| 1376160192 | Rebecca Gollub | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-06-26 |
| 1629697586 | Sri Sai Jaahnavi Kodali | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-04-10 |
| 1053930214 | Victoria Wei | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-04-08 |
| 1548899800 | Laharee Parikh | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-04-07 |
| 1467081422 | Jian Wei Lee | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
| 1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
| 1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
| 1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
| 1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
| 1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
| 1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
| 1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.