EINSTEIN PRACTICE PLAN INC (NPI# 1992761621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992761621 |
| Entity Type | Organization |
| Organization Name | EINSTEIN PRACTICE PLAN INC |
| Other Organization Name | NORTHERN VASCULAR LAB |
| Practice Address |
5501 Old York Road Philadelphia PA 19141 |
| Mailing Address |
101 E Olney Avenue Suite 400 Philadelphia PA 19120 |
| Practice Telephone | 2154566930 |
| Practice Fax Number | 2154563529 |
| Mailing Telephone | 2154567000 |
| Mailing Fax Number | 2152542599 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | FRANCINE BARGERON (DIRECTOR EINSTEIN PRACTICE PLAN INC) |
| Authorized Official Telephone | 2154567000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007706230139 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Vascular Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323517 | Einstein Practice Plan Inc | Orthopaedic Surgery | 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 | 2019-12-11 |
| 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 |
| Street Address |
5501 OLD YORK ROAD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000278 | Mark Scott Morginstin | Internal Medicine | 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141 | 2005-11-15 |
| 1144846809 | Natalie Anne Gonzalez | Pediatrics | 5501 Old York Road, Philadelphia, PA 19141-3098 | 2020-06-18 |
| 1043835549 | Neysha Patel | Student in an Organized Health Care Education/Training Program | 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141 | 2020-06-10 |
| 1386269926 | Annemarie Joyce Daecher | Emergency Medicine | 5501 Old York Road, Korman Ground, B-9, Rm# 7, Philadelphia, PA 19141 | 2020-06-09 |
| 1225675945 | Ardel Jose Romero Pabon | Internal Medicine | 5501 Old York Road, Internal Medicine Residency Program, Philadelphia, PA 19141 | 2019-12-02 |
| 1942862610 | Sarah Khan | Pediatrics | 5501 Old York Road, Philadelphia, PA 19141 | 2019-07-02 |
| 1598327546 | Victoria Kirsten Kneller | Emergency Medicine | 5501 Old York Road, Philadelphia, PA 19141 | 2019-06-30 |
| 1104487941 | Melissa Liza Yu | Emergency Medicine | 5501 Old York Road, Philadelphia, PA 19141 | 2019-06-24 |
| 1568022374 | Kyaw Naing | Student in an Organized Health Care Education/Training Program | 5501 Old York Road, Philadelphia, PA 19141 | 2019-06-14 |
| 1033670153 | Jung Hyun Yun | Radiology | 5501 Old York Road, Philadelphia, PA 19141 | 2019-03-29 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1962993170 | Brian M Till | Surgery | 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2018-05-23 |
| 1356838932 | Walker Lyons | Surgery | 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 | 2018-04-18 |
| 1790213114 | Matthew Paul Mullarkey | Surgery | 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 | 2017-05-30 |
| 1528424090 | Zhen Lu | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2016-01-13 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1578941282 | Amanda Elizabeth Deliere | Surgery | 3400 N Broad St, Philadelphia, PA 19140-5104 | 2015-05-13 |
| 1649660804 | Deviney Rattigan | Surgery | 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 | 2015-01-27 |
| 1346676988 | Aviva Wallace Kaplin | Surgery | 20 E Abington Ave, Philadelphia, PA 19118-3410 | 2013-09-15 |
| 1619300571 | Roshin Thomas | Surgery | 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 | 2013-08-14 |
| 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.