DREXEL UNIVERSITY (NPI# 1629005152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629005152 |
| Entity Type | Organization |
| Organization Name | DREXEL UNIVERSITY |
| Other Organization Name | DREXEL OBGYN CENTER FOR GENETICS & FETAL MEDICINE |
| Practice Address |
216 N Broad St 4th Floor Philadelphia PA 19102-1121 |
| Mailing Address |
1601 Cherry St Suite 11511 Philadelphia PA 19102-1321 |
| Practice Telephone | 2157624000 |
| Practice Fax Number | 2157624323 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | DAVE JANIEC (DIRECTOR OF PAYER CONTRACTING) |
| Authorized Official Telephone | 2152557766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Drexel OBGYN Center for Genetics & Fetal Medicine | 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 |
216 N BROAD ST 4TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1104192558 | Gregory Malat | Pharmacist | 216 N Broad St, Ms 417 5th Floor Feinstein Bldg, Philadelphia, PA 19102-1121 | 2012-03-30 |
| 1841569167 | Andres Riera | Internal Medicine | 216 N Broad St, Philadelphia, PA 19102 | 2011-12-14 |
| 1376810192 | Roberto Eduarte Velasco | Nurse Practitioner | 216 N Broad St, 12318 New College Building, Philadelphia, PA 19102-1121 | 2011-11-22 |
| 1972886885 | Priscilla Bosacco | Nurse Practitioner | 216 N Broad St, Feinstein Building, 2nd Floor, Philadelphia, PA 19102-1121 | 2011-09-27 |
| 1972747285 | Jasjit Kaur Beausang | Obstetrics & Gynecology | 216 N Broad St, Floor 4 Feinstein Building, Philadelphia, PA 19102-1121 | 2009-04-30 |
| 1215192521 | Karen M Berkowitz | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121 | 2008-07-25 |
| 1417135161 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Feinstein, Philadelphia, PA 19102-1121 | 2008-02-05 |
| 1568647592 | Laird Jackson | Obstetrics & Gynecology | 216 N Broad St, Philadelphia, PA 19102-1121 | 2008-01-09 |
| 1023227444 | Lissa Beth Levin Mizrahi | Internal Medicine | 216 N Broad St, 5th Floor, Philadelphia, PA 19102-1121 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255540159 | Richard Douglas Ross | Obstetrics & Gynecology | 2131 Saint James St, Philadelphia, PA 19103-4804 | 2007-05-21 |
| 1598247439 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1518451681 | Einstein Practice Plan, Inc. | Obstetrics & Gynecology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2018-06-21 |
| 1134578594 | Fei Cai | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-06-07 |
| 1568732071 | Shelly Soni | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104 | 2012-01-01 |
| 1063731669 | Adi Hirshberg | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2010-05-21 |
| 1184898322 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2008-04-18 |
| 1083892376 | Juliana Sanchez Gebb | Obstetrics & Gynecology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2008-02-08 |
| 1295856771 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 3400 Spruce St, 2000 Courtyard Building, Philadelphia, PA 19104-4206 | 2007-04-03 |
| 1710021498 | Julie Suzanne Moldenhauer | Obstetrics & Gynecology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2007-02-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.