DR. JENNIFER V. TOM (NPI# 1376562686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376562686 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER V. TOM |
| Credential | M.D. |
| Practice Address |
2301 S Broad St Philadelphia PA 19148-3542 |
| Mailing Address |
2301 S Broad St 1st Floor Philadelphia PA 19148-3542 |
| Practice Telephone | 2159529136 |
| Practice Fax Number | 2159529138 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD424980 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0057762 | 05 | |
| PA | 101212814 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134460 | Jennifer Tom | Occupational Therapist | 24 S Cordova St, Alhambra, CA 91801-4006 | 2016-10-06 |
| 1972958064 | Jennifer Tom | Student in an Organized Health Care Education/Training Program | 18938 46th Rd, Flushing, NY 11358-3421 | 2016-04-26 |
| 1639576754 | Jennifer Tom | Acupuncturist | 1207 Carlsbad Village Dr, Suite T, Carlsbad, CA 92008-1957 | 2014-12-04 |
| 1851533129 | Jennifer Margaret Tom | Family Medicine | 1375 E 20th Ave, Denver, CO 80205-5422 | 2009-04-01 |
| Street Address |
2301 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124621 | Deborah A Serba | Nurse Anesthetist, Certified Registered | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2005-06-20 |
| 1215584859 | Mary Ann Heller | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-08-19 |
| 1093279499 | Katelyn Alice Jesukiewicz | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-01-30 |
| 1972088292 | Lindsey Anne Wolf | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-10-02 |
| 1346732005 | Candace Cantwell-foy | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-05-30 |
| 1386199982 | Marisa A. Ciuppa | Nurse Anesthetist, Certified Registered | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-08-24 |
| 1871957324 | Tejal Ulhas Naik | Internal Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-04-11 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1669831996 | Jeffex, Inc. | Pharmacy | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-02-15 |
| 1033575352 | Methodist Associates In Healthcare, Inc. | Family Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1023515384 | Lisa Michelle Friedland | Emergency Medicine | 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 | 2018-04-11 |
| 1326543034 | Daniel Du Pont | Emergency Medicine | 3400 Civic Center Blvd Bldg 421, Philadelphia, PA 19104 | 2018-03-26 |
| 1053827485 | Prohealth Leaders LLC | Emergency Medicine | 9963 Bustleton Ave, Philadelphia, PA 19115-1557 | 2017-12-21 |
| 1841729340 | Mark Ramzy | Emergency Medicine | 230 North Broad St, Hahnemann University Hospital, Philadelphia, PA 19102 | 2017-06-08 |
| 1871020347 | Benjamin Ariel Bloom | Emergency Medicine | 1316 W Ontario St Fl 10, Philadelphia, PA 19140-5220 | 2017-05-16 |
| 1730575283 | Elaine Smith | Emergency Medicine | 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 | 2015-04-11 |
| 1295120251 | Stephen Hallisey | Emergency Medicine | 3400 Spruce St Hospital of The University of Pa, Department of Emergency Medicine Ground Floor Ravdin, Philadelphia, PA 19104-4238 | 2015-04-06 |
| 1831505254 | Gerald Whelan | Emergency Medicine | 39 Summit St, Philadelphia, PA 19118-2832 | 2014-07-07 |
| 1679987374 | John Benjamin | Emergency Medicine | 245 N. 15th Street, Philadelphia, PA 19102 | 2014-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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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.