DREXEL UNIVERSITY


Address: 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519
Phone: 2157626144

DREXEL UNIVERSITY (NPI# 1104920495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104920495
Entity Type Organization
Organization Name DREXEL UNIVERSITY
Other Organization Name DREXEL NEPHROLOGY
Practice Address 219 N Broad St
9th Floor
Philadelphia
PA 19107-1519
Mailing Address 1601 Cherry St
Suite 11511
Philadelphia
PA 19102-1321
Practice Telephone 2157626144
Practice Fax Number 2157628366
Mailing Telephone 2152557822
Mailing Fax Number 2152557825
Enumeration Date 2006-09-08
Last Update Date 2014-05-27
Authorized Official Name DAVID JANIEC (DIRECTOR OF PAYER CONTRACTING)
Authorized Official Telephone 2152557766
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
PA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Drexel Nephrology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598271207 Drexel University Social Worker 1505 Race St Fl 6, Philadelphia, PA 19102-1119 2017-12-18
1265847560 Drexel University Preferred Provider Organization 245 N 15th St # Ms 488, Philadelphia, PA 19102-1101 2014-06-25
1366870842 Drexel University Clinic/Center 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 2013-10-21
1134386147 Drexel University Dietitian, Registered 219 N. Broad St., 9th Floor, Philadelphia, PA 19107 2008-05-19
1740335603 Drexel University Internal Medicine 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 2007-01-23
1760015283 Drexel University Family Medicine 1427 Vine St Fl 2, Philadelphia, PA 19102-1031 2020-02-13
1659875284 Drexel University Internal Medicine 153 Brodhead Rd, Bethlehem, PA 18017-8931 2018-03-20
1790203669 Drexel University Nurse Practitioner 1601 Cherry St Fl 2, Philadelphia, PA 19102-1306 2017-08-31
1184168858 Drexel University Case Management 1601 Cherry St, Suite 11498, Philadelphia, PA 19102-1320 2016-12-14
1598134611 Drexel University Clinic/Center 230 N Broad St, 18th Floor, Philadelphia, PA 19102-1121 2015-09-18

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations DREXEL UNIVERSITY 3201 Arch St Ste 420, Philadelphia, PA 19104-2755
North Carolina Corporations Drexel University 160 Mine Lake Ct Ste 200, Raleigh, NC 27615

Office Location

Street Address 219 N BROAD ST
9TH FLOOR
City PHILADELPHIA
State PA
Zip Code 19107-1519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457356917 Jeffrey Brian Hoag Internal Medicine 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 2005-06-20
1346872116 Tower Drexel Academic Medical Group LLC Family Medicine 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 2020-02-10
1629638374 Osama Mufti Ophthalmology 219 N Broad St, Philadelphia, PA 19107-1519 2019-06-15
1538510730 Emily Gnatt Audiologist 219 N Broad St, 10th Floor, Philadelphia, PA 19107-1519 2016-06-29
1295100493 Jessica Cerasoli Physician Assistant 219 N Broad St, Philadelphia, PA 19107-1519 2015-12-14
1992129522 Zachari Breeding Dietitian, Registered 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 2014-02-18
1588915649 Danielle Elizabeth Brown Physician Assistant 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519 2012-09-28
1487918611 Andrew Ow Family Medicine 219 N Broad St, 1st Floor, Philadelphia, PA 19107-1519 2012-07-03
1396006508 Jing Xing Zhang Dermatology 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 2012-06-04
1114286614 Kelly Anne Williamson Ophthalmology 219 N Broad St, 3rd Floor, Philadelphia, PA 19107-1519 2012-05-04
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578124038 Ali Arif Internal Medicine 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 2019-06-25
1710344171 Nina Stuccio Internal Medicine 410 S Front St Unit 215, Philadelphia, PA 19147-1708 2016-01-15
1497068613 Anupama Nair Internal Medicine 1324 Locust St, Apt 205 The Arts Condominium, Philadelphia, PA 19107 2010-07-16
1972739621 Mortimer M Civan Internal Medicine A303 Richards Building, 3700 Hamilton Walk, Dept. of Physiology, Univ. of Pennsylvania, Philadelphia, PA 19104-6085 2009-06-09
1790795391 Arthur Robert Olshan Internal Medicine 205 N Broad St Ste 600, Philadelphia, PA 19107-1555 2006-08-08
1407817745 Theodora K. Bernardini Internal Medicine 4453 Castor Ave, Suite B, Philadelphia, PA 19124-3846 2006-03-28
1902874670 Eric J Bloom Internal Medicine 5501 Old York Road, Moss 4th Floor, Sley Building, Einstein Nephrology Associates, Philadelphia, PA 19141 2006-03-09
1821071473 Edward R. Jones Internal Medicine 10 E Moreland Ave, Suite 100, Philadelphia, PA 19118-3541 2005-11-28
1366425092 Peter Fumo Internal Medicine 10 E Moreland Ave Ste 100, Philadelphia, PA 19118-3562 2005-11-28
1790773547 Ellie Kelepouris Internal Medicine 216 N. Broad St., 5th Floor, Philadelphia, PA 19102 2005-10-06
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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