JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1952860975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952860975 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Practice Address |
1015 Chestnut St Ste 1300 Philadelphia PA 19107-4313 |
| Mailing Address |
615 Chestnut St Fl 14 Philadelphia PA 19106-4404 |
| Practice Telephone | 2159557410 |
| Practice Fax Number | 2159238230 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | SARA LANDI (SUPERVISOR, JUP CENTRAL ENROLLMENTS) |
| Authorized Official Telephone | 2155037543 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson Allergy and Immunology | 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 |
| 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 |
| 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 |
1015 CHESTNUT ST STE 1300 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346336930 | Shirley M Fung | Internal Medicine | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4398 | 2006-10-04 |
| 1942643705 | Megan Katherine Ford | Internal Medicine | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2013-04-11 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716803 | Anar Askarovna Dossumbekova | Allergy & Immunology | 2137 Welsh Rd Ste 2b, Philadelphia, PA 19115-4963 | 2012-06-29 |
| 1164798146 | Scott Feldman | Allergy & Immunology | 51 N 39th St Fl 8, Philadelphia, PA 19104-2640 | 2012-03-23 |
| 1558643007 | Kuan-hsiang Gary Huang | Allergy & Immunology | 5501 Old York Rd Bldg 300, Philadelphia, PA 19141-3018 | 2011-09-11 |
| 1205827490 | James Corry | Allergy & Immunology | 3550 Market St Fl 3, Children's Hospital of Philadelphia - Allergy & Immun, Philadelphia, PA 19104-3365 | 2005-11-04 |
| 1902896988 | Raquel B Empedrad | Allergy & Immunology | 205 N Broad St, Suite 300, Philadelphia, PA 19107-1554 | 2005-10-21 |
| 1942846761 | Stc Opco LLC | Allergy & Immunology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1417440587 | Stanislaw Jozef Gabryszewski | Allergy & Immunology | 3401 Civic Center Blvd, 9nw Room 55, Philadelphia, PA 19104 | 2018-06-12 |
| 1366814899 | Methodist Associates In Healthcare of New Jersey, P.C. | Allergy & Immunology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2015-10-23 |
| 1982961843 | Rahul Datta | Allergy & Immunology | 3500 Civic Center Blvd, Philadelphia, PA 19104 | 2012-04-17 |
| 1851680888 | Gita Ram | Allergy & Immunology | 3550 Market St, Chop Care Network @ Market St - Allergy & Immunology, Philadelphia, PA 19104-3329 | 2011-03-30 |
| 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.