NPIMap

Organization Active NPI

Philadelphia Health and Education Corp

Doing business as Drexel University College of Medicine

  • Pediatric Adolescent Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1053680827
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD073928L Issued in PA
Legal business name
PHILADELPHIA HEALTH AND EDUCATION CORP
Doing business as
Drexel University College of Medicine
Practice address
3601 A St
Nelson Pavillion, 2ND Floor, Family Planning
Philadelphia, PA 19134-1043
Phone
(215) 427-4871
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Leonard Levine, M.D.NPI 1679508691
Title
Medical Director
Phone
(215) 427-6694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD073928L PA Primary

Addresses

Primary practice location

3601 A St
Nelson Pavillion, 2ND Floor, Family Planning
Philadelphia, PA 19134-1043

Mailing address

3601 A St
Nelson Pavillion, 2ND Floor, Family Planning
Philadelphia, PA 19134-1043

Other identifiers 1

IdentifierTypeStateIssuer
100757111-0604MedicaidPA

Other names 1

  • Drexel University College of Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drexel Cardiology NJ18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

3601 A St
Fl 2
Philadelphia, PA 19134
Phone (215) 427-4871

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1053680827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 A ST",
            "address_2": "NELSON PAVILLION, 2ND FLOOR, FAMILY PLANNING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 A ST",
            "address_2": "NELSON PAVILLION, 2ND FLOOR, FAMILY PLANNING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341043",
            "telephone_number": "215-427-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH AND EDUCATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-427-6694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD073928L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757111-0604",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drexel University College of Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 22, 2011; 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.