DREXEL UNIVERSITY (NPI# 1366546772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366546772 |
| Entity Type | Organization |
| Organization Name | DREXEL UNIVERSITY |
| Other Organization Name | DREXEL ENDOCRINOLOGY |
| Practice Address |
219 N Broad St 2nd Floor Philadelphia PA 19107-1519 |
| Mailing Address |
1601 Cherry St Suite 11511 Philadelphia PA 19102-1321 |
| Practice Telephone | 2157625030 |
| Practice Fax Number | 2157622689 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | DAVID JANIEC (DIRECTOR OF PAYER CONTRACTING) |
| Authorized Official Telephone | 2152557766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Drexel Endocrinology | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
219 N BROAD ST 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-1519 |
| 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 | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1275824443 | Jessica Rose Wilson | Internal Medicine | 3400 Civic Center Blvd Ste 400, Philadelphia, PA 19104-5127 | 2011-04-22 |
| 1558558304 | Lubna M Zuberi | Internal Medicine | 211 S 9th St Ste 600, Philadelphia, PA 19107-6810 | 2007-09-26 |
| 1740323211 | Judith S Carroll | Internal Medicine | 1601 Borbeck Ave, Philadelphia, PA 19111-3512 | 2007-02-15 |
| 1821064015 | Andrew R Quint | Internal Medicine | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2006-02-27 |
| 1063483469 | Claresa S Levetan | Internal Medicine | 2130 Spring Garden Street, Philadelphia, PA 19130 | 2006-02-01 |
| 1609358563 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1194207134 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1760990741 | Lori Ann Maloney | Internal Medicine | 3737 Market St, 3rd Fl, Philadelphia, PA 19104-9905 | 2018-01-12 |
| 1457862443 | Methodist Associates In Healthcare, Inc | Internal Medicine | 2130 Spring Garden Street, 1st Floor, Philadelphia, PA 19130-3502 | 2017-10-17 |
| 1821521212 | Chandriya Chandran | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2017-04-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on DREXEL UNIVERSITY.
| 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.