JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1487819900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487819900 |
Entity Type | Organization |
Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
Practice Address |
900 Walnut Street Jefferson Hospital for Neuroscience Philadelphia PA 19107 |
Mailing Address |
1020 Walnut St Scott Bldg., Room 539 Philadelphia PA 19107-5543 |
Practice Telephone | 2159558039 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-07-24 |
Authorized Official Name | MS. JUDY GUARNIERI (SENIOR NEUROSURGERY CRNP) |
Authorized Official Telephone | 8776565609 |
Authorized Official Credential | CRNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | SP009706 | PA | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467626689 | Jefferson University Physicians | Radiology | 111 S 11th St Ste G3390, Philadelphia, PA 19107-4824 | 2008-04-18 |
1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
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 |
900 WALNUT STREET JEFFERSON HOSPITAL FOR NEUROSCIENCE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619409364 | Kalla Alexis Gervasio | Ophthalmology | 900 Walnut Street, Emergency Room, Philadelphia, PA 19107 | 2017-03-31 |
1154621449 | Susan D Gallardo | Registered Nurse | 900 Walnut Street, Thomas Jefferson University Physicians Suite 200, Philadelphia, PA 19107 | 2010-11-02 |
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 | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
Notes: Source: AHA Guide, Registration section, p. A5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316390024 | Thomas Jefferson University | Special Hospital | 900 Walnut St, Philadelphia, PA 19107-5509 | 2016-07-18 |
1639429533 | Temple University Hospital | Special Hospital | 3401 N Broad Street, Suite C-540, 5th Floor, Parkinson Pavilion, Philadelphia, PA 19140 | 2012-09-18 |
1124395017 | Shriners Hospitals for Children - Philadelphia | Special Hospital | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2011-11-21 |
1467602102 | Psychiatry Associates of Fccc | Special Hospital | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2008-09-30 |
1982852786 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Psychiatry Associates of Fccc, Philadelphia, PA 19111 | 2008-09-04 |
1881899284 | City of Phila Trustee Acting By The Brd of Dir of City Trusts | Special Hospital | 840 Walnut St, 15th Floor, Philadelphia, PA 19107 | 2007-06-18 |
1043349269 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Infectious Disease Assoc of Fccc, Philadelphia, PA 19111 | 2007-03-05 |
1568564821 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Gynecological Oncology Assoc of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
1477655736 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Pulmonary Assocociates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
1386746642 | Heath Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Radiation Oncology Associates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
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.