THOMAS JEFFERSON UNIVERSITY


Address: 111 S 11th St, Suite 4240, Philadelphia, PA 19107-4824
Phone: 2159558874

THOMAS JEFFERSON UNIVERSITY (NPI# 1124195854) 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) 1124195854
Entity Type Organization
Organization Name THOMAS JEFFERSON UNIVERSITY
Practice Address 111 S 11th St
Suite 4240
Philadelphia
PA 19107-4824
Mailing Address 125 S 9th St
Suite 801
Philadelphia
PA 19107-5125
Practice Telephone 2159558874
Mailing Telephone 2159559642
Enumeration Date 2006-11-29
Last Update Date 2020-08-22
Authorized Official Name SUSAN BEAL (DIRECTOR)
Authorized Official Telephone 2155031295
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD053709L PA Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467547968 Thomas Jefferson University Psychologist 1021 South 21st Street, Philadelphia, PA 19146 2006-10-03
1316390024 Thomas Jefferson University Special Hospital 900 Walnut St, Philadelphia, PA 19107-5509 2016-07-18
1750694055 Thomas Jefferson University Rehabilitation Unit 3801 Conshohocken Ave, Philadelphia, PA 19131-5530 2010-07-15
1235378209 Thomas Jefferson University Social Worker 130 S 9th St, Suite 647, Philadelphia, PA 19107-5233 2009-02-13
1508011313 Thomas Jefferson University Community/Behavioral Health 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 2008-11-20
1245495944 Thomas Jefferson University Neurological Surgery 909 Walnut St, 3rd Floor, Philadelphia, PA 19107-5211 2008-07-22
1992824312 Thomas Jefferson University Clinic/Center 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 2007-03-28
1972622306 Thomas Jefferson University Clinic/Center 1239 Spring Garden St, Philadelphia, PA 19123-3206 2007-03-28
1124147277 Thomas Jefferson University General Acute Care Hospital 111 S 11th St, Suite 8270, Philadelphia, PA 19107-4824 2007-03-28

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations THOMAS JEFFERSON UNIVERSITY 1020 Walnut St, Philadelphia, PA 19107
System for Award Management (SAM) Entities THOMAS JEFFERSON UNIVERSITY HOSPITAL 111 S 11th St, Philadelphia, PA 19107-4824

Office Location

Street Address 111 S 11TH ST
SUITE 4240
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346246642 Flavius F. Guglielmo Radiology 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 2005-06-22
1265046569 Sherman John Torres Nurse Anesthetist, Certified Registered 111 S 11th St, Philadelphia, PA 19107-4824 2020-09-03
1609489376 Andrew Michael Mcguire Registered Nurse 111 S 11th St, Philadelphia, PA 19107-4824 2020-08-24
1326657420 Daniel Joseph Leehan Pharmacist 111 S 11th St, Philadelphia, PA 19107-4824 2020-07-24
1013539436 Kashyap Rajendra Chauhan Internal Medicine 111 S 11th St, Philadelphia, PA 19107-4824 2020-05-07
1134749385 Maria Mattioli Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-04-17
1598392151 Amine Sahmoud Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-24
1346877198 Abigail M O'connell Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-23
1396370342 Alexandra Elder Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-10
1134754252 Christopher James Neely Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-09
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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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174156012 Sade Yolanda Davis Specialist 2414 N Garnet St, Philadelphia, PA 19132-3725 2020-02-19
1356803993 Larkerra Goodson Specialist 1336 Arrott St Apt E15, Philadelphia, PA 19124-3281 2019-04-03
1306302617 Keisha Robinson Specialist 6852 Regent St, Philadelphia, PA 19142-1213 2019-02-12
1740758168 William Whitaker Specialist 1115 E Sanger St, Philadelphia, PA 19124-1130 2018-11-02
1902395536 Ran Barzilay Specialist 3440 Market St, Suite 200, Philadelphia, PA 19104 2018-05-09
1093229668 Danielle M Marshall Specialist 514 Seville St Apt 7, Philadelphia, PA 19128-2737 2017-11-19
1336651017 Radhia Afif Specialist 5943 Weymouth St, Philadelphia, PA 19120-1122 2017-11-02
1306383401 Helping Hair LLC Specialist 930 N 50th St, Philadelphia, PA 19131-5102 2017-01-26
1447796172 Kristen Halvorson Specialist 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 2017-01-19
1174079131 Sadia Randolph Specialist 6718 Paschall Ave, Philadelphia, PA 19142-1809 2016-08-30
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Competitor

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City PHILADELPHIA
Zip Code 19107

Improve Information

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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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