SERGE GINZBURG (NPI# 1679763056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679763056 |
| Entity Type | Individual |
| Full Name | SERGE GINZBURG |
| Credential | MD |
| Practice Address |
1200 W Tabor Rd 3sley Philadelphia PA 19141-3019 |
| Practice Telephone | 2154564730 |
| Practice Fax Number | 2154569334 |
| Mailing Telephone | 2154564730 |
| Mailing Fax Number | 2154569334 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD441582 | PA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | MD441582 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 W TABOR RD 3SLEY |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417926817 | Ali Ibrahim El-kerdi | Physical Therapist | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2006-03-16 |
| 1861017402 | Tyler Madison Gaines | Urology | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2020-06-09 |
| 1598300055 | Eliana Rae Katz | Internal Medicine | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2019-11-08 |
| 1942719729 | January Smith | Nurse Practitioner | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2017-09-25 |
| 1386170314 | Eric Caruso | Physician Assistant | 1200 W Tabor Rd, Moss Building, 3rd Floor, Philadelphia, PA 19141-3019 | 2017-05-11 |
| 1205246576 | Einstein Practice Plan, Inc. | Anesthesiology | 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 | 2014-05-07 |
| 1497176200 | Gillian Michelle Norah Murray | Social Worker | 1200 W Tabor Rd, 4th Floor, Philadelphia, PA 19141-3019 | 2013-12-20 |
| 1669613113 | Jay Simhan | Urology | 1200 W Tabor Rd, 3sley, Philadelphia, PA 19141-3019 | 2009-03-12 |
| 1477709830 | Maximillian Shmidheiser | Clinical Neuropsychologist | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2008-08-15 |
| 1578719233 | Barath Sampath | Psychiatry & Neurology | 1200 W Tabor Rd, Moss Rehab, Philadelphia, PA 19141-3019 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336444843 | Leonard Arnold Frank | Urology | 1025 Walnut St Suite 1112, Philadelphia, PA 19107 | 2011-01-13 |
| 1427369867 | Gregory Joseph Diorio | Urology | 231 N. Broad Street 2nd Floor, Philadelphia, PA 19107-2020 | 2010-06-30 |
| 1649451535 | Yew Lam Chong | Urology | 1025 Walnut St Ste 1112, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5001 | 2007-11-19 |
| 1851586150 | Dana Alexandra Weiss | Urology | 34th and Civic Center Blvd Department, Children's Hospital of Philadelphia -urology Dept., Philadelphia, PA 19104-4399 | 2007-09-10 |
| 1922165000 | Phillip Mucksavage | Urology | 299 South 8th Street, Philadelphia, PA 19106-4010 | 2007-01-02 |
| 1215033618 | Michael Adrian Daniels | Urology | 2 Penn Blvd Ste 206, Philadelphia, PA 19144-1403 | 2006-09-15 |
| 1366553745 | Victor L Torres | Urology | 125 E Lehigh Avenue, Philadelphia, PA 19125 | 2006-08-31 |
| 1346280633 | Joseph K Izes | Urology | 833 Chestnut St Ste 703, Philadelphia, PA 19107-4409 | 2006-06-07 |
| 1790748838 | Victor Leonard Carpiniello | Urology | 299 S 8th St, Philadelphia, PA 19106-4010 | 2006-04-10 |
| 1770570798 | Melanie Ina Amster | Urology | 1216 Arch St, Suite 3b, Philadelphia, PA 19107-2835 | 2005-10-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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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.