NPIMap

Organization Active NPI

Drexel University

Doing business as Pennsylvania Ear Institute

  • 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
Doing business as
Pennsylvania Ear Institute
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
Last updated
Apr 4, 2025By the provider in NPPES
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 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 120
Elkins Park, PA 19027
Phone (215) 780-3180

10 Shurs Ln
Ste 205
Philadelphia, PA 19127
Phone (215) 482-1301

1427 Vine St
Fl 5
Philadelphia, PA 19102
Phone (215) 762-2530

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

230 N Broad St
Fl 7
Philadelphia, PA 19102
Phone (215) 762-4444

525 Jamestown St
Ste 101
Philadelphia, PA 19128
Phone (215) 463-1483

525 Jamestown St
Ste 205
Philadelphia, PA 19128
Phone (215) 483-2400

915 Vine St
Philadelphia, PA 19107
Phone (215) 762-8114

Practitioners & affiliated clinicians

Practitioners 319

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 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": [],
    "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.