NPIMap

Organization Active NPI

Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
National Provider Identifier
1104192590
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EINSTEIN MEDICAL CENTER MONTGOMERY
Practice address
559 W Germantown Pike
East Norriton, PA 19403-4250
Phone
(484) 622-1000
NPI assigned
Mar 29, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Mr. Walter Gordon Wyatt Jr.
Title
Associate Vice President - Finance
Phone
(215) 254-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

559 W Germantown Pike
East Norriton, PA 19403-4250

Mailing address

559 W Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120709000358 PA Part A Provider - Hospital 3971768482 Practice locations: Collegeville, PA; Plymouth Meeting, PA; Norristown, PA; King of Prussia, PA; East Norriton, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104192590. Details of each certification follow.

Hospital certification: CCN 390329

Legal name
EINSTEIN MEDICAL CENTER MONTGOMERY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 5, 2012
Last certification
Oct 30, 2024
Beds
195 (140 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 2006 in PA
Enrollment address
559 West Germantown Pike
East Norriton, PA 19403-4250
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Jefferson Einstein Montgomery HospitalCCN 390329 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Einstein Med Ctr Montgomery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

210 Mall Blvd
Ste G02
King of Prussia, PA 19406

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Jefferson University Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2021 100%
Geoffrey M Duffine Individual Corporate DirectorTrustee Jul 1, 2011
John Corson Individual Corporate OfficerTrustee & Vice Chairman and Trea Jul 1, 2011
Jim Powell Individual Corporate Director Jul 1, 2020
Lawrence Reichlin Individual Corporate Director Jul 1, 2020
Lewis Gantman Individual Corporate DirectorTrustee Jul 1, 2009
Jefferson Health Corporation Organization, Philadelphia, PA Corporation, Holding company, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2024 100%
Richard Wolfson Individual Corporate Director Jul 1, 2020
Anthony R Sherr Individual Corporate Director Jul 1, 2020
Robert Lee Thomas Individual Corporate OfficerChief Accounting Officer Jul 1, 2025
Richard Sheerr Individual Corporate DirectorTrustee Jul 1, 2009
Brian E Sweeney Individual Corporate OfficerPresident Jan 12, 2023
W-2 Managing EmployeePresident Jan 12, 2023
Timothy Maccracken Individual Corporate OfficerAssistant Treasurer Jul 1, 2023
Steven Berk Individual Corporate Director Jul 1, 2020
US Bank National Association Organization, Philadelphia, PA Financial institution 5% Or Greater Security Interest Jun 23, 2010
Walter Wyatt Individual Corporate OfficerAssociate VP of Finance Jul 1, 2011
W-2 Managing EmployeeAssociate Vice President Finance Jul 1, 2011
Allison K Feldman Individual Corporate Director Jul 1, 2020

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 78

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 78

Affiliated clinicians 709

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 709

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1104192590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN MEDICAL CENTER MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "ASSOCIATE VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "215-254-3254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.