JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1487030763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487030763 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Other Organization Name | JEFFERSON GASTROENTEROLOGY & HEPATOLOGY |
| Practice Address |
4735 Ogletown Stanton Rd Newark DE 19713-2072 |
| Practice Telephone | 2159558900 |
| Practice Fax Number | 2159233447 |
| Mailing Telephone | 2159558900 |
| Mailing Fax Number | 2159233447 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | WILLIAM BEHM (ASSOC. VP, HEALTH PLAN SERVICES) |
| Authorized Official Telephone | 2159558236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
DE | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson Gastroenterology & Hepatology | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1437425360 | Jefferson University Physicians | Nutritionist | 615 Chestnut St, 14th Floor, Philadelphia, PA 19106-4495 | 2012-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jefferson University Physicians | 100 College Building 1025 Walnut Street, Philadelphia, Pennsylvania 19107 |
| Street Address |
4735 OGLETOWN STANTON RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415651 | Susan L Chudzik | Nurse Practitioner | 4735 Ogletown Stanton Rd, Mapii Suite 2123, Newark, DE 19713-2072 | 2005-05-27 |
| 1487295721 | Michael Rajnherc | Nurse Anesthetist, Certified Registered | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-10-07 |
| 1679131221 | Kathryn Margaret Godfrey | Psychologist | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-05-30 |
| 1952827446 | Robert F. Onyango | Registered Nurse | 4735 Ogletown Stanton Rd, Map 2, Suite 1250, Newark, DE 19713-2076 | 2017-08-17 |
| 1225565070 | Steven James Larrimore | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-05-11 |
| 1861926032 | Heidi Huntington | Clinical Nurse Specialist | 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 | 2017-04-14 |
| 1336688662 | Alana Coppol Disabatino | Nurse Practitioner | 4735 Ogletown Stanton Rd, Suite 1250, Newark, DE 19713-2072 | 2017-02-20 |
| 1235678087 | Kimberly Wanner | Nurse Practitioner | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301, Newark, DE 19713-2072 | 2017-02-13 |
| 1255878047 | Bioidentical Options, LLC | Specialist | 4735 Ogletown Stanton Rd, Medical Arts Pavilion II Suite 2310, Newark, DE 19713-2072 | 2017-01-31 |
| 1306396650 | Ali Kalamchi, Md | Orthopaedic Surgery | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2016-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553001 | University of Penn - Medical Group | Internal Medicine | 4923 Stanton Ogletown Rd, Newark, DE 19713-2081 | 2018-10-12 |
| 1912347030 | Amol R Shah | Internal Medicine | 1060 Broad St Ste 2a, Newark, NJ 07102-2321 | 2013-07-03 |
| 1457790024 | Zaid Tafesh | Internal Medicine | 90 Bergen St Ste 2100, Newark, NJ 07103-2425 | 2013-06-17 |
| 1841451580 | Michael H Bass | Internal Medicine | 2600 Glasgow Ave Ste 106, Newark, DE 19702-5703 | 2008-06-24 |
| 1285892463 | Siddharth Verma | Internal Medicine | 185 S Orange Ave # Msbh538, Newark, NJ 07103-2757 | 2008-05-25 |
| 1689888281 | Gary B Sinensky Md Pa | Internal Medicine | 24-28 Merchant St, Newark, NJ 07105-2847 | 2007-05-10 |
| 1841349685 | Susan K Jonas Md | Internal Medicine | J 30 Omega Dr, Omega Professional Center, Newark, DE 19713 | 2007-01-10 |
| 1881605749 | Mohamed S Alsalahi | Internal Medicine | 1304 Driving Park Ave, Newark, NY 14513-1059 | 2006-08-10 |
| 1063428878 | Domenica Maria Barritta | Internal Medicine | 18 Oliver St, Newark, NJ 07102-3410 | 2006-08-01 |
| 1518973742 | Firpo Eugenio Guerrero | Internal Medicine | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-07-31 |
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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.