NPIMap

Organization Active NPI

Drexel University

  • Audiologist
  • Elkins Park, PA
National Provider Identifier
1104822253
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
DREXEL UNIVERSITY
Practice address
8380 Old York Rd
Ste 120
Elkins Park, PA 19027-1539
Phone
(215) 886-8660
Fax
(215) 886-8856
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Mr. Edward E Waldov
Title
Director of Revenue Cycle
Phone
(215) 255-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

8380 Old York Rd
Ste 120
Elkins Park, PA 19027-1539

Mailing address

8380 Old York Rd
Ste 120
Elkins Park, PA 19027-1539
Phone (215) 886-8660

Other identifiers 2

IdentifierTypeStateIssuer
1013771350002MedicaidPA
1013771350001MedicaidPA

Other names 1

  • Pennsylvania Ear Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051011000324 PA Part B Supplier - Clinic/Group Practice 0244255008 Receives reassigned benefits from 5 practitioners
Practice locations: Elkins Park, PA
O20140729001682 PA Part B Supplier - Clinic/Group Practice 5496664740 Receives reassigned benefits from 340 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Warminster, PA; Elkins Park, PA

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory
Tax ID family
Drexel University21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

8380 Old York Rd
Ste 1200
Elkins Park, PA 19027
Phone (215) 780-3180

8380 Old York Rd
Ste 120
Elkins Park, PA 19027
Phone (215) 780-3180

1427 Vine St
Fl 6
Philadelphia, PA 19102
Phone (215) 762-6565

3401 Fox St
Philadelphia, PA 19129
Phone (215) 221-3120

150 S Independence Mall W
Lbby 101
Philadelphia, PA 19106
Phone (215) 627-3259

230 N Broad St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-7350

449 N Broad St
Philadelphia, PA 19123
Phone (215) 238-1201

1726 S Broad St
Ste 103
Philadelphia, PA 19145
Phone (215) 463-5008

216 N Broad St
Fl 1
Philadelphia, PA 19102
Phone (215) 762-1998

3001 Walnut St
Fl 4
Philadelphia, PA 19104
Phone (215) 386-3556

3301 Market St
Philadelphia, PA 19104
Phone (215) 552-7012

841 E Hunting Park Ave
Ste 210
Philadelphia, PA 19124
Phone (215) 484-0550

2813 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-9666

245 N 15th St
Stop 502
Philadelphia, PA 19102
Phone (215) 762-4680

205 N Broad St
Ste 100
Philadelphia, PA 19107
Phone (215) 587-8008

219 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 762-3937

207 N Broad St
Philadelphia, PA 19107
Phone (215) 561-0562

1208 Tasker St
Philadelphia, PA 19148
Phone (215) 271-4100

2126 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 236-4600

Practitioners & affiliated clinicians

Practitioners 319

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

View all 319

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1104822253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 OLD YORK RD",
            "address_2": "STE 120",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271539",
            "telephone_number": "215-886-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 OLD YORK RD",
            "address_2": "STE 120",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271539",
            "telephone_number": "215-886-8660",
            "fax_number": "215-886-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "WALDOV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "215-255-7751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013771350002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013771350001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennsylvania Ear Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.