JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1386818540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386818540 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Practice Address |
833 Chestnut St Suite 630 Philadelphia PA 19107-4414 |
| Practice Telephone | 2159550800 |
| Mailing Telephone | 2159550800 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | JOHN OGUNKEYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2159552562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 798858 | 01 |
| PA | HIGHMARK BLUE SHIELD | 265319 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 0542970000 | 01 |
| PA | KEYSTONE MERCY | 1153691 | 01 |
| NJ | 7686005 | 05 |
| 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 |
| 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 | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968703 | Joshua Karl Kutinsky | Psychiatry & Neurology | 1528 Walnut St Ste 1500, Philadelphia, PA 19102-3611 | 2017-08-17 |
| 1477592335 | Charles J Bae | Psychiatry & Neurology | 3624 Market St Ste 201, Philadelphia, PA 19104-2614 | 2006-06-06 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609146398 | Lawrence Green | Psychiatry & Neurology | 315 Maple Ave, Swarthmore, PA 19081-1412 | 2012-01-11 |
| 1861609711 | Eric M Levin Md | Psychiatry & Neurology | 144 S 8th St Ste 101, Chambersburg, PA 17201-2752 | 2007-05-17 |
| 1750383246 | Eric Marc Levin | Psychiatry & Neurology | 901 E Mckinley St, Chambersburg, PA 17201-2823 | 2005-08-15 |
| 1801417126 | Capital Neurology | Psychiatry & Neurology | 4250 Crums Mill Rd Ste 102, Harrisburg, PA 17112-2889 | 2020-04-27 |
| 1982015186 | Sergiu Abramovici | Psychiatry & Neurology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2014-05-11 |
| 1689011207 | James Francis Castellano | Psychiatry & Neurology | 3471 5th Ave Ste 810, Pittsburgh, PA 15213 | 2013-05-23 |
| 1083963169 | Anthony Storm Junod | Psychiatry & Neurology | 200 Scenery Dr, State College, PA 16801 | 2012-09-05 |
| 1306115738 | Ahmed Moh'd Abdel Latif Yassin | Psychiatry & Neurology | 3471 5th Ave, Suite 811, Pittsburgh, PA 15213-3215 | 2011-12-13 |
| 1851629646 | Denise E Ewald | Psychiatry & Neurology | 1288 Valley Forge Rd, Phoenixville, PA 19460-2687 | 2009-12-07 |
| 1801021886 | Crystal Thomas | Psychiatry & Neurology | 301 S 7th St, Suite 210, Reading, PA 19602-2432 | 2009-05-20 |
| Find all providers with the same taxonomy | ||||
| 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.