NPIMap

Organization Active NPI

Temple Physicians Inc

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1033496971
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TEMPLE PHYSICIANS INC
Practice address
7604 Central Ave
Philadelphia, PA 19111-2433
Phone
(215) 745-3400
Fax
(214) 745-7711
NPI assigned
Nov 7, 2011
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
TEMPLE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Eric Mankin, MD
Title
Ceo
Phone
(215) 926-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

7604 Central Ave
Philadelphia, PA 19111-2433

Mailing address

PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 926-9010

Other identifiers 3

IdentifierTypeStateIssuer
CD4829OtherPARAIL ROAD MEDICARE TPI
1007278000OtherPAMEDICAID
597586OtherPAMEDICARE GROUP TPI

Other names 1

  • Jeanes Comprehensive Breast Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000054 PA Part B Supplier - Clinic/Group Practice 2062317233 Receives reassigned benefits from 494 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Temple Physicians Inc C77 organizations share this tax ID, including this one
Part of
Temple Physicians Inc C

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1033496971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-926-9010",
            "fax_number": "215-226-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 CENTRAL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112433",
            "telephone_number": "215-745-3400",
            "fax_number": "214-745-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-926-9050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE TPI",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1007278000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP TPI",
            "identifier": "597586",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanes Comprehensive Breast Care",
            "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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.