NPIMap

Organization Active NPI

Jefferson Community Physicians

  • Vascular Surgery Physician
  • Abington, PA
National Provider Identifier
1043031602
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
JEFFERSON COMMUNITY PHYSICIANS
Practice address
1200 Old York Rd FL Buerger
Abington, PA 19001-3720
Phone
(215) 887-5934
Fax
(215) 481-3481
NPI assigned
Oct 17, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Rachel Dantis
Title
Credentialing Manager
Phone
(609) 238-7660

Practitioners 2

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

National Provider Directory

National Provider Directory
Tax ID family
Abington Adult Medical54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

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

View all 18

Locations

125 S 11th St
Philadelphia, PA 19107
Phone (215) 503-5642

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

NPPES NPI Registry

Primary practice location

1200 Old York Rd FL Buerger
Abington, PA 19001-3720

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 887-5934

Other names 1

NPPES NPI Registry
  • Jefferson Vascular Surgery @ Abington Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2025.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1043031602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-887-5934",
            "fax_number": "215-481-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD FL BUERGER",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-887-5934",
            "fax_number": "215-481-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COMMUNITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "DANTIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "609-238-7660"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Vascular Surgery @ Abington",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jefferson Vascular Surgery @ Abington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.