EINSTEIN PRACTICE PLAN, INC. (NPI# 1952819633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952819633 |
| Entity Type | Organization |
| Organization Name | EINSTEIN PRACTICE PLAN, INC. |
| Other Organization Name | EINSTEIN CARDIOLOGY ASSOCIATES EPS |
| Practice Address |
5501 Old York Rd Fl Moss3 Philadelphia PA 19141 |
| Mailing Address |
101 E Olney Ave Ste 400 Philadelphia PA 19120-2470 |
| Practice Telephone | 2156631188 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | DAWN CANDIA (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 2154564694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007706230424 | 05 | |
| PA | 1007706230425 | 05 | |
| PA | 1007706230139 | 05 | |
| PA | 1007706230426 | 05 |
| Other Name | Type Code |
|---|---|
| Einstein Cardiology Associates EPS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439367 | Einstein Practice Plan, Inc. | Dentist | 5501 Old York Rd Fl Paley2, Philadelphia, PA 19141-3018 | 2018-06-05 |
| 1265923072 | Einstein Practice Plan, Inc. | Internal Medicine | 5401 Old York Rd Ste 505, Philadelphia, PA 19141-3047 | 2018-05-29 |
| 1518451681 | Einstein Practice Plan, Inc. | Obstetrics & Gynecology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2018-06-21 |
| 1083082523 | Einstein Practice Plan, Inc. | Nurse Practitioner | 5501 Old York Rd, Korman 202, Philadelphia, PA 19141-3018 | 2015-09-14 |
| 1205246576 | Einstein Practice Plan, Inc. | Anesthesiology | 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 | 2014-05-07 |
| 1013263649 | Einstein Practice Plan, Inc. | Clinical Neuropsychologist | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2012-08-01 |
| 1992940902 | Einstein Practice Plan, Inc. | Clinic/Center | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2008-12-04 |
| 1316099898 | Einstein Practice Plan, Inc. | Clinic/Center | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-01-17 |
| 1154419166 | Einstein Practice Plan, Inc. | Ophthalmology | 5401 Old York Rd, Suite 201, Philadelphia, PA 19141-3030 | 2006-10-11 |
| 1922047463 | Einstein Practice Plan, Inc. | Psychiatry & Neurology | 5401 Old York Rd, Suite 400, Philadelphia, PA 19141-3030 | 2006-06-06 |
| Street Address |
5501 OLD YORK RD FL MOSS3 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| 1265880199 | Craig Lawrence Cedermark | Dentist | Albert Einstein Medical Center, 5501 Old York Rd, Philadelphia, PA 19141 | 2016-06-01 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1477699015 | Rajat Deo | Internal Medicine | 3400 Spruce St Fl 2, Philadelphia, PA 19104-4229 | 2007-01-30 |
| 1871534826 | Methodist Associates In Healthcare Jmhc | Internal Medicine | 1317-19 Wolf Street, Philadelphia, PA 19148-2934 | 2006-06-09 |
| 1356890420 | Methodist Associates In Healthcare, Inc. | Internal Medicine | 1703 S Broad St Ste 300, Philadelphia, PA 19148-1536 | 2016-09-29 |
| 1407298177 | Mouhannad Sadek | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-07-23 |
| 1891042826 | Penn Medicine Ccp | Internal Medicine | 227 N Broad St, Suite 200, Philadelphia, PA 19107-1503 | 2012-08-09 |
| 1609132257 | Pasquale Santangeli | Internal Medicine | 3400 Spruce St, Ground Rhoads, Philadelphia, PA 19104-4238 | 2012-04-09 |
| 1669763728 | Gustavo Soares Guandalini | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2011-04-25 |
| 1215240254 | Marc W Deyell | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2010-07-20 |
| 1457680407 | Robert Eoin Park | Internal Medicine | 3400 Spruce St, 210 White, Philadelphia, PA 19104-4206 | 2009-12-21 |
| 1346480233 | Haris Murtaza Haqqani | Internal Medicine | 3400 Spruce St, Department of Cardiology, Gates 8, Philadelphia, PA 19104-4206 | 2009-03-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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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.