Drexel University
Organization Active NPI Surgery Physician · Philadelphia, PA
NPI 1104921576 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1104921576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- DREXEL UNIVERSITY
- Practice address
- 219 N Broad St
8TH Floor
Philadelphia, PA 19107-1519 - Phone
- (215) 762-1545
- Fax
- (215) 563-5514
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
Authorized official
- Name
- David Janiec
- Title
- Director of Payer Contracting
- Phone
- (215) 255-7766
Other NPIs on the same Medicare enrollment 45
Practitioners 6
-
Gregg D Alleyne, MD
-
Neilanjan Nandi, MD
-
Naitik Patel, MD
-
Daniel Victor Schidlow, M.D.
-
Dorothy Hazel Mora, CNM
-
Ari D Brooks, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | PA | Yes | |
| Vascular Surgery Physician |
2086S0129X | |||
| Colon & Rectal Surgery Physician |
208C00000X |
Addresses
Primary practice location
219 N Broad St
8TH Floor
Philadelphia, PA 19107-1519
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822
Other names
- Drexel Surgery
Other providers in Philadelphia, PA
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
All providers in Philadelphia, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.