THOMAS JEFFERSON UNIVERSITY (NPI# 1972622306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972622306 |
| Entity Type | Organization |
| Organization Name | THOMAS JEFFERSON UNIVERSITY |
| Practice Address |
1239 Spring Garden St Philadelphia PA 19123-3206 |
| Mailing Address |
1233 Locust St Ste 401 Philadelphia PA 19107-5459 |
| Practice Telephone | 2157631020 |
| Practice Fax Number | 2157634640 |
| Mailing Telephone | 2159551952 |
| Mailing Fax Number | 2155686414 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | MICHELLE CALVANO (BUSINESS MANAGER) |
| Authorized Official Telephone | 2159551952 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
800000127 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007571300097 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547968 | Thomas Jefferson University | Psychologist | 1021 South 21st Street, Philadelphia, PA 19146 | 2006-10-03 |
| 1316390024 | Thomas Jefferson University | Special Hospital | 900 Walnut St, Philadelphia, PA 19107-5509 | 2016-07-18 |
| 1750694055 | Thomas Jefferson University | Rehabilitation Unit | 3801 Conshohocken Ave, Philadelphia, PA 19131-5530 | 2010-07-15 |
| 1235378209 | Thomas Jefferson University | Social Worker | 130 S 9th St, Suite 647, Philadelphia, PA 19107-5233 | 2009-02-13 |
| 1508011313 | Thomas Jefferson University | Community/Behavioral Health | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2008-11-20 |
| 1245495944 | Thomas Jefferson University | Neurological Surgery | 909 Walnut St, 3rd Floor, Philadelphia, PA 19107-5211 | 2008-07-22 |
| 1992824312 | Thomas Jefferson University | Clinic/Center | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2007-03-28 |
| 1124147277 | Thomas Jefferson University | General Acute Care Hospital | 111 S 11th St, Suite 8270, Philadelphia, PA 19107-4824 | 2007-03-28 |
| 1124195854 | Thomas Jefferson University | Specialist | 111 S 11th St, Suite 4240, Philadelphia, PA 19107-4824 | 2006-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THOMAS JEFFERSON UNIVERSITY | 1020 Walnut St, Philadelphia, PA 19107 |
| System for Award Management (SAM) Entities | THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11th St, Philadelphia, PA 19107-4824 |
| Street Address |
1239 SPRING GARDEN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19123-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302763 | Genesis II, Inc. | Community/Behavioral Health | 1239 Spring Garden St, Suite 300, Philadelphia, PA 19123-3206 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301842 | Regina Ann Griffin | Massage Therapist | 721 West Brown Street, Apt 1r, Philadelphia, PA 19123 | 2020-09-16 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1649761677 | Dawn Webster | Acupuncturist | 466 N 10th St, Philadelphia, PA 19123 | 2018-05-25 |
| 1629566237 | Tri-county Home Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 443-45 W. Girard Ave, Ste 2b, Philadelphia, PA 19123 | 2018-04-30 |
| 1508389214 | Greater Delaware Valley Society of Transplant Surgeons | Organ Procurement Organization | 401 N. 3rd Street, Philadelphia, PA 19123 | 2017-07-25 |
| 1770987588 | Eugene Borys | Social Worker | 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 | 2014-10-22 |
| 1134521255 | 9th & Girard Pharmacy Inc | Pharmacy | 901 W Girard Ave, #105, Philadelphia, PA 19123 | 2014-09-19 |
| 1508271925 | Waleska Santiago, PC | Internal Medicine | 1 Brown Street Unit 1414, Philadelphia, PA 19123 | 2014-06-24 |
| 1366865537 | Keli Hunter | Chiropractor | 683 N. Broad Street, Philadelphia, PA 19123 | 2014-01-24 |
| Find all providers in zip 19123 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050900 | Limitless Recovery Center LLC | Clinic/Center | 1206 E Palmer St, Philadelphia, PA 19125-3308 | 2018-07-19 |
| 1922273564 | Gaudenzia | Clinic/Center | 1834 W Tioga St, Philadelphia, PA 19140-4939 | 2008-04-24 |
| 1437377181 | Gaudenzia Inc | Clinic/Center | 607 East Church Lane, Apt. B-6, Philadelphia, PA 19144 | 2007-04-20 |
| 1174741821 | Gaudenzia Inc | Clinic/Center | 1300 Spring Garden Street, Philadelphia, PA 19123 | 2007-04-20 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| 1316086655 | Minsec Treatment Center | Clinic/Center | 3768 L St, Philadelphia, PA 19124-5530 | 2007-02-05 |
| 1063577989 | Resources for Human Development | Clinic/Center | 5000 Jackson St, Philadelphia, PA 19124-2117 | 2006-12-22 |
| 1477660470 | Riverside Care, Inc | Clinic/Center | 2701 N. Broad St, Philadelphia, PA 19132-2743 | 2006-08-24 |
| 1770517922 | Riverside Care, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2006-07-11 |
| 1245759943 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19123 |
Please comment or provide details below to improve the information on THOMAS JEFFERSON UNIVERSITY.
| 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.