THOMAS JEFFERSON UNIVERSITY (NPI# 1316390024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316390024 |
| Entity Type | Organization |
| Organization Name | THOMAS JEFFERSON UNIVERSITY |
| Practice Address |
900 Walnut St Philadelphia PA 19107-5509 |
| Practice Telephone | 2155031000 |
| Mailing Telephone | 2155031000 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | ZVI GRUNWALD (CHAIR, DEPARTMENT OF ANESTHESIOLOGY) |
| Authorized Official Telephone | 2159556161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | RN573428 | PA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547968 | Thomas Jefferson University | Psychologist | 1021 South 21st Street, Philadelphia, PA 19146 | 2006-10-03 |
| 1750694055 | Thomas Jefferson University | Rehabilitation Unit | 3801 Conshohocken Ave, Philadelphia, PA 19131-5530 | 2010-07-15 |
| 1235378209 | Thomas Jefferson University | Social Worker | 130 S 9th St, Suite 647, Philadelphia, PA 19107-5233 | 2009-02-13 |
| 1508011313 | Thomas Jefferson University | Community/Behavioral Health | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2008-11-20 |
| 1245495944 | Thomas Jefferson University | Neurological Surgery | 909 Walnut St, 3rd Floor, Philadelphia, PA 19107-5211 | 2008-07-22 |
| 1992824312 | Thomas Jefferson University | Clinic/Center | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2007-03-28 |
| 1972622306 | Thomas Jefferson University | Clinic/Center | 1239 Spring Garden St, Philadelphia, PA 19123-3206 | 2007-03-28 |
| 1124147277 | Thomas Jefferson University | General Acute Care Hospital | 111 S 11th St, Suite 8270, Philadelphia, PA 19107-4824 | 2007-03-28 |
| 1124195854 | Thomas Jefferson University | Specialist | 111 S 11th St, Suite 4240, Philadelphia, PA 19107-4824 | 2006-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THOMAS JEFFERSON UNIVERSITY | 1020 Walnut St, Philadelphia, PA 19107 |
| System for Award Management (SAM) Entities | THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11th St, Philadelphia, PA 19107-4824 |
| Street Address |
900 WALNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732448 | Abdolmohamad Rostami | Psychiatry & Neurology | 900 Walnut St, Philadelphia, PA 19107-5509 | 2006-07-15 |
| 1558985820 | Elizabeth Chiamaka Okwamba | Registered Nurse | 900 Walnut St, Philadelphia, PA 19107-5191 | 2020-06-02 |
| 1114487469 | Christine Marcello | Nurse Practitioner | 900 Walnut St, Philadelphia, PA 19107-5191 | 2019-03-22 |
| 1841705795 | Natalia Danelich | Nurse Practitioner | 900 Walnut St, Philadelphia, PA 19107 | 2017-12-13 |
| 1578078416 | Katelyn Brothwell | Nurse Practitioner | 900 Walnut St, Philadelphia, PA 19107-5509 | 2017-12-13 |
| 1720508492 | Robin R Fry | Psychiatry & Neurology | 900 Walnut St, Philadelphia, PA 19107-5509 | 2017-06-23 |
| 1215468525 | Connie Wu | Ophthalmology | 900 Walnut St, Philadelphia, PA 19107-5509 | 2017-03-27 |
| 1548702913 | Victoria English | Nurse Practitioner | 900 Walnut St, Philadelphia, PA 19107-5509 | 2016-11-16 |
| 1902260169 | Nicole Hollup | Nurse Practitioner | 900 Walnut St, Philadelphia, PA 19107-5509 | 2016-04-13 |
| 1982085114 | Angela Kurzyna | Psychologist | 900 Walnut St, Suite 200, Philadelphia, PA 19107-5509 | 2015-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487819900 | Jefferson University Physicians | Special Hospital | 900 Walnut Street, Jefferson Hospital for Neuroscience, Philadelphia, PA 19107 | 2008-07-24 |
| 1639429533 | Temple University Hospital | Special Hospital | 3401 N Broad Street, Suite C-540, 5th Floor, Parkinson Pavilion, Philadelphia, PA 19140 | 2012-09-18 |
| 1124395017 | Shriners Hospitals for Children - Philadelphia | Special Hospital | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2011-11-21 |
| 1467602102 | Psychiatry Associates of Fccc | Special Hospital | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2008-09-30 |
| 1982852786 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Psychiatry Associates of Fccc, Philadelphia, PA 19111 | 2008-09-04 |
| 1881899284 | City of Phila Trustee Acting By The Brd of Dir of City Trusts | Special Hospital | 840 Walnut St, 15th Floor, Philadelphia, PA 19107 | 2007-06-18 |
| 1043349269 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Infectious Disease Assoc of Fccc, Philadelphia, PA 19111 | 2007-03-05 |
| 1568564821 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Gynecological Oncology Assoc of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1477655736 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Pulmonary Assocociates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1386746642 | Heath Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Radiation Oncology Associates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.