EINSTEIN PRACTICE PLAN INC (NPI# 1790323517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790323517 |
| Entity Type | Organization |
| Organization Name | EINSTEIN PRACTICE PLAN INC |
| Practice Address |
5501 Old York Rd Bldg Fl4 Philadelphia PA 19141-3018 |
| Mailing Address |
101 E Olney Ave Fl 4 Philadelphia PA 19120-2480 |
| Practice Telephone | 2154567900 |
| Practice Fax Number | 2154563428 |
| Mailing Telephone | 2154568129 |
| Mailing Fax Number | 2154565926 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | MARGARET NICHOLSON (MANAGER) |
| Authorized Official Telephone | 2154568129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Einstein Orthopaedic Surgery Sports Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Township Line Rd, Elkins Park, PA 190272220 | 2154567900 | 2156636865 |
| 609 W Germantown Pike, East Norriton, PA 194034243 | 4846227100 | 4846227121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031488 | Einstein Practice Plan Inc | Dentist | 5501 Old York Rd Bldg 2nd, Philadelphia, PA 19141-3018 | 2019-09-05 |
| 1245891654 | Einstein Practice Plan Inc | Dietitian, Registered | 5401 Old York Rd Bldg Ste 410, Philadelphia, PA 19141-3030 | 2019-06-26 |
| 1811458656 | Einstein Practice Plan Inc | Orthopaedic Surgery | 9880 Bustleton Ave Ste 220, Philadelphia, PA 19115-2143 | 2019-03-26 |
| 1144272733 | Einstein Practice Plan Inc | Psychiatry & Neurology | 4200 Monument Ave, Philadelphia, PA 19131 | 2006-05-16 |
| 1578521126 | Einstein Practice Plan Inc | Internal Medicine | One Penn Blvd, Philadelphia, PA 19141 | 2006-05-03 |
| 1104882786 | Einstein Practice Plan Inc | Physical Medicine & Rehabilitation | 60 E Township Line Road, Elkins Park, PA 19027 | 2006-04-24 |
| 1629185640 | Einstein Practice Plan Inc | Obstetrics & Gynecology | 5501 Old York Road, Paley 2, Philadelphia, PA 19141 | 2006-08-24 |
| 1114970407 | Einstein Practice Plan Inc | Pathology | 5501 Old York Rd, Phila, PA 19141 | 2006-05-18 |
| 1730132028 | Einstein Practice Plan Inc | Pediatrics | 5501 Old York Rd, Phila, PA 19141 | 2006-05-18 |
| 1649223934 | Einstein Practice Plan Inc | Internal Medicine | 5501 Old York Rd, Korman Building, Suite 103, Phila, PA 19141-3018 | 2006-05-18 |
| Street Address |
5501 OLD YORK RD BLDG FL4 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3018 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780622639 | Michael James Mandarino Jr. | Orthopaedic Surgery | 2832 Belmont Ave, Philadelphia, PA 19131-1519 | 2006-06-03 |
| 1730140153 | Kevin Blake Freedman | Orthopaedic Surgery | 925 Chestnut St, Fl 5, Rothman Institute, Philadelphia, PA 19107-4216 | 2006-03-28 |
| 1306833132 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2005-10-06 |
| 1245713908 | Temple Faculty Practice Plan, Inc | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1366961237 | Holy Family University | Orthopaedic Surgery | 9801 Frankford Ave, Philadelphia, PA 19114-2009 | 2017-09-12 |
| 1669871026 | Theresa Julia Christina Pazionis | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2014-08-21 |
| 1790121507 | Daniel Lim | Orthopaedic Surgery | 3400 Spruce St, Philadelphia, PA 19104 | 2013-05-20 |
| 1669714671 | Jamie Lyn Engel | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2013-03-18 |
| 1164788832 | Julie Shaner | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2012-04-07 |
| 1679899462 | David K Galos | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2010-04-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on EINSTEIN PRACTICE PLAN INC.
| 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.