DR. JAKE ALDEN KUSHNER (NPI# 1265485379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265485379 |
| Entity Type | Individual |
| Full Name | DR. JAKE ALDEN KUSHNER |
| Credential | M.D. |
| Practice Address |
3615 Civic Center Blvd Chop Endocrine, Arc 802c Philadelphia PA 19104-4318 |
| Practice Telephone | 2674265717 |
| Practice Fax Number | 2155901605 |
| Mailing Telephone | 2674265717 |
| Mailing Fax Number | 2155901605 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD423023 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MD423023 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3615 CIVIC CENTER BLVD CHOP ENDOCRINE, ARC 802C |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881167633 | James Timothy Peterson | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2019-01-04 |
| 1073961595 | Alyssa Lee Ritter | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2016-05-25 |
| 1124424601 | Emma Bedoukian | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2014-11-12 |
| 1376949859 | Sarah Elizabeth Noon | Genetic Counselor, MS | 3615 Civic Center Blvd, Abramson Research Center, Rm 1008, Philadelphia, PA 19104-4318 | 2014-11-11 |
| 1295157204 | Jennifer Marie Tarpinian | Genetic Counselor, MS | 3615 Civic Center Blvd, Suite 1008, Philadelphia, PA 19104-4318 | 2014-01-09 |
| 1811237076 | Charles Odion | Dentist | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2013-02-26 |
| 1366757684 | Stacy Woyciechowski | Genetic Counselor, MS | 3615 Civic Center Blvd, Arc Rm. 703e, Philadelphia, PA 19104-4318 | 2010-08-11 |
| 1417262726 | Jennifer Lynn Garbarini | Genetic Counselor, MS | 3615 Civic Center Blvd, Division of Cardiology, Arc 702a, Philadelphia, PA 19104-4318 | 2010-08-11 |
| 1285953869 | Susan E Warrington | Pharmacist | 3615 Civic Center Blvd, Department of Pharmacy, Philadelphia, PA 19104-4318 | 2010-05-22 |
| 1922331222 | Elizabeth Mary Mccormick | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2009-09-17 |
| 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 | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437367398 | Anita Azam | Pediatrics | 3601 A. Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2007-05-21 |
| 1316022494 | Judith L. Ross | Pediatrics | Dupont At Jefferson, 833 Chestnut Street East Suite 300, Philadelphia, PA 19107-4413 | 2006-10-26 |
| 1457349359 | Iraj Rezvani | Pediatrics | Erie Ave At Front St, Scpa Endocrinology, Philadelphia, PA 19134-1095 | 2005-10-13 |
| 1871137273 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
| 1083104418 | Stephanie Lauren Robbins | Pediatrics | 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 | 2018-05-10 |
| 1194239954 | Ghada Faik Naji | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2017-11-30 |
| 1346750528 | Ohoud Saleh Alzahrani | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-10-02 |
| 1619400611 | Julia Crowley | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-04-06 |
| 1194110023 | Sandra Vazquez Diaz | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Endocrinology, Philadelphia, PA 19104 | 2015-03-28 |
| 1467846949 | Jaclyn Tamaroff | Pediatrics | 3401 Civic Center Blvd, Pediatric Endocrinology, Philadelphia, PA 19104 | 2015-03-23 |
| 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.