JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1356659379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356659379 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Practice Address |
833 Chestnut St Suite 630, Jup Central Enrollments Philadelphia PA 19107-4414 |
| Practice Telephone | 2159550800 |
| Mailing Telephone | 2159550800 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | JOHN OGUNKEYE (EXECUTIVE DIRECTORY) |
| Authorized Official Telephone | 2159552562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487819900 | Jefferson University Physicians | Special Hospital | 900 Walnut Street, Jefferson Hospital for Neuroscience, Philadelphia, PA 19107 | 2008-07-24 |
| 1467626689 | Jefferson University Physicians | Radiology | 111 S 11th St Ste G3390, Philadelphia, PA 19107-4824 | 2008-04-18 |
| 1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
| 1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| 1033564315 | Jefferson University Physicians | Dentist | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2016-04-25 |
| 1487030763 | Jefferson University Physicians | Internal Medicine | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2015-08-10 |
| 1609250604 | Jefferson University Physicians | Internal Medicine | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2015-07-20 |
| 1376932616 | Jefferson University Physicians | Internal Medicine | 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 | 2015-01-09 |
| 1407270903 | Jefferson University Physicians | Internal Medicine | 834 Walnut St, Suite 110, Philadelphia, PA 19107-5109 | 2014-02-05 |
| 1932449717 | Jefferson University Physicians | Internal Medicine | 925 Chestnut St Ste 420, Philadelphia, PA 19107-4216 | 2013-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jefferson University Physicians | 100 College Building 1025 Walnut Street, Philadelphia, Pennsylvania 19107 |
| Street Address |
833 CHESTNUT ST SUITE 630, JUP CENTRAL ENROLLMENTS |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310821 | Akhil K Das | Urology | 833 Chestnut St, Suite 703, Philadelphia, PA 19107-4414 | 2005-07-14 |
| 1285263228 | Melissa Lily Chiu | Physical Therapist | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-04-02 |
| 1639707995 | Hannah Nelkin Facey | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-31 |
| 1043846991 | David C Peters | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-22 |
| 1598320699 | Danielle Gould Tsevat | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-05-03 |
| 1467015024 | Victoria Adedoja Adewale | Obstetrics & Gynecology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-19 |
| 1447712484 | Michael Bozzi | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-01 |
| 1578046603 | Jessica Blair Dijulio | Dermatology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-09-14 |
| 1063990802 | Lisa Marie Burkholder | Social Worker | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-08-03 |
| 1255829123 | Olivia Marie Seecof | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-04-26 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1043232531 | Barry L Marks | Family Medicine | 6302 Morton St, Philadelphia, PA 19144 | 2006-07-24 |
| 1356302715 | Patrick Timothy Waters | Family Medicine | 2101 W Lehigh Ave Ste A, Philadelphia, PA 19132-2664 | 2006-03-28 |
| 1841833548 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2019-10-25 |
| 1164879862 | Hishen Dang | Family Medicine | 3615 Chestnut St, Philadelphia, PA 19104-2612 | 2016-05-23 |
| 1326492570 | Michael Lawrence Weissberger | Family Medicine | 833 Chestnut St, Suite 301, Philadelphia, PA 19107-4414 | 2016-04-14 |
| 1033575352 | Methodist Associates In Healthcare, Inc. | Family Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-01-04 |
| 1104205400 | Residentialist Housecall Med Grp, PC A Pennsylvania Corp | Family Medicine | 4190 City Ave, Pcom - Rowland Hall, Room 528, Philadelphia, PA 19131-1626 | 2015-05-20 |
| 1548689581 | Elizabeth Collins | Family Medicine | 833 Chestnut St, Suite 301, Philadelphia, PA 19107-4414 | 2014-04-07 |
| 1285959510 | Aroonsiri Howell | Family Medicine | 3322 N Broad St, Philadelphia, PA 19140 | 2010-03-30 |
| 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.