NPIMap

Organization Active NPI

Methodist Associates in Healthcare, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1023447398
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE, INC
Practice address
3 Crescent Dr
Philadelphia, PA 19112-1016
Phone
(215) 503-3300
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Valerie Bright-Butler
Title
Associate Director
Phone
(215) 955-9457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X PA Primary

Addresses

Primary practice location

3 Crescent Dr
Philadelphia, PA 19112-1016

Mailing address

1101 Mark Street
30TH Floor
Philadelphia, PA 19107-4495
Phone (215) 955-9457

Other identifiers 1

IdentifierTypeStateIssuer
1007729870101MedicaidPA

Other names 1

  • JEFF INTERNAL MEDICINE AT NAVY YARD Other name

National Provider Directory

National Provider Directory
Tax ID family
Methodist Practice Plan38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

3 Crescent Dr
Philadelphia, PA 19112
Phone (215) 503-3300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1023447398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARK STREET",
            "address_2": "30TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074495",
            "telephone_number": "215-955-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CRESCENT DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121016",
            "telephone_number": "215-503-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "BRIGHT-BUTLER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "215-955-9457",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007729870101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFF INTERNAL MEDICINE AT NAVY YARD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JEFF INTERNAL MEDICINE AT NAVY YARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.