DR. PETER MICHAEL JUCOVY (NPI# 1750891362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750891362 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL JUCOVY |
| Credential | MD |
| Practice Address |
7414 Crittenden St Philadelphia PA 19119-1015 |
| Practice Telephone | 2152426140 |
| Mailing Telephone | 2152426140 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD020043E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
7414 CRITTENDEN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427478205 | Manju Ambelil | Pathology | 132 S 10th St # 285k, Philadelphia, PA 19107-5244 | 2014-04-21 |
| 1235570615 | Abul Ala Syed Rifat Mannan | Pathology | 801 Spruce St Fl 10, Philadelphia, PA 19107 | 2013-07-12 |
| 1073879656 | Stacey Mardekian Gargano | Pathology | 132 S 10th St Ste 285k, Philadelphia, PA 19107-5244 | 2012-04-08 |
| 1780914937 | Kristina E Antoniades | Pathology | 260 St. Joseph's Way, Philadelphia, PA 19106 | 2010-01-12 |
| 1659512044 | Archibald Clinton Hewes | Pathology | 256 S Van Pelt St, Philadelphia, PA 19103-4813 | 2009-03-13 |
| 1972086650 | Temple Faculty Practice Plan, Inc | Pathology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1205222767 | Ashley N Vogel | Pathology | 111 S 11th St, Philadelphia, PA 19107 | 2015-04-11 |
| 1831584077 | Salvatore Fortunato Priore Jr. | Pathology | 800 Spruce St, Philadelphia, PA 19107-6130 | 2015-04-04 |
| 1447664230 | David Roth | Pathology | 3400 Spruce St, 6 Gates, Philadelphia, PA 19104-4238 | 2014-06-19 |
| 1912341918 | Danielle Fortuna | Pathology | 3400 Spruce St, Philadelphia, PA 19104 | 2013-04-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.