JAY R KOSTMAN (NPI# 1720014962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720014962 |
| Entity Type | Individual |
| Full Name | JAY R KOSTMAN |
| Credential | MD |
| Practice Address |
1207 Chestnut St Fl 3 Philadelphia PA 19107-4131 |
| Mailing Address |
1233 Locust St Fl 3 Philadelphia PA 19107-5400 |
| Practice Telephone | 2677250252 |
| Practice Fax Number | 2157321046 |
| Mailing Telephone | 2159854448 |
| Mailing Fax Number | 2159851145 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD035184E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001087179 | 05 | |
| PA | MEDICARE | 761315 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 S Broad St, Philadelphia, PA 191075213 | 2677250252 | 2157321046 |
| Street Address |
1207 CHESTNUT ST FL 3 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450887 | Kathleen Cerrone | Nurse Practitioner | 1207 Chestnut St Fl 3, Philadelphia, PA 19107-4131 | 2019-01-10 |
| 1396140406 | Clare Fischer-davies Schoenberg | Physician Assistant | 1207 Chestnut St Fl 3, Philadelphia, PA 19107-4131 | 2014-10-31 |
| 1871831602 | Bo Hwa Evans | Nurse Practitioner | 1207 Chestnut St Fl 3, Philadelphia, PA 19107-4131 | 2013-01-29 |
| 1356579437 | Franklin Yates | Internal Medicine | 1207 Chestnut St Fl 3, Philadelphia, PA 19107-4131 | 2009-06-26 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1891912648 | Michael Zdenek David | Internal Medicine | 3400 Spruce St Ste E, Philadelphia, PA 19104-4223 | 2007-04-20 |
| 1871628594 | Felicia Maude Toby Lewis | Internal Medicine | 500 S Broad St Fl 2, Philadelphia, PA 19146-1613 | 2007-02-22 |
| 1265571152 | Karam C Mounzer | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-02-06 |
| 1457413445 | Blair C Weikert | Internal Medicine | 3400 Spruce S.t, Philadelphia, PA 19104-4206 | 2006-12-15 |
| 1306904941 | Ronald Asper | Internal Medicine | 1304 W Ritner St, Philadelphia, PA 19148-3525 | 2006-12-05 |
| 1326075243 | John Stern | Internal Medicine | 301 South 8th Street, Duncan Bldg Ste 1b, Philadelphia, PA 19106 | 2006-06-27 |
| 1124055058 | Lisa Spacek | Internal Medicine | 1015 Chestnut St Ste 1020, Philadelphia, PA 19107-4310 | 2006-06-27 |
| 1669414827 | William R Short | Internal Medicine | 3910 N Powelton Ave, 2nd Flr, Philadelphia, PA 19104-2640 | 2006-06-12 |
| 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.