Albert Einstein Medical Center
Organization Active NPI General Acute Care Hospital · Phila, PA
NPI 1104989474 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1104989474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 270601 (PA)
- Legal business name
- ALBERT EINSTEIN MEDICAL CENTER
- Practice address
- 5501 Old York Rd
Phila, PA 19141-3018 - Phone
- (215) 456-6611
- Fax
- (215) 457-4304
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Samuel Russo
- Title
- Corp. Director of Finance
- Phone
- (215) 456-6611
Owners & managing parties with NPI records 3
-
David M. Jaspan, DO
-
Deborah L Pierce, DO
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Hospital certification: CCN 390142A
- Legal name
- ALBERT EINSTEIN MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 5, 1952 in PA
- Enrollment address
- 5501 Old York Rd
Philadelphia, PA 19141-3018 - Hospital subgroups
- General, Other
Hospital certification: CCN 390142C
- Legal name
- ALBERT EINSTEIN MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 5, 1952 in PA
- Enrollment address
- 60 East Township Line Road
Elkins Park, PA 19027-2220 - Hospital subgroups
- General
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas Jefferson University |
5% Or Greater Indirect Ownership Interest | Oct 4, 2021 | 100% |
| Dixieanne James |
Corporate Officer |
Jul 1, 2020 | |
| W-2 Managing Employee |
Jul 1, 2020 | ||
| David M Jaspan |
Corporate Director | Jul 1, 2014 | |
| Paul Weiss |
Corporate Director | Jan 1, 2019 | |
| Corporate Director | Jul 1, 2020 | ||
| Robert Lipstein |
Corporate Director | Jan 1, 2019 | |
| Corporate Director | Jul 1, 2020 | ||
| Eric Raymond |
Corporate Director | Jul 1, 2014 | |
| Lawrence Reichlin |
Corporate Director | Jan 1, 2019 | |
| Corporate Director | Jul 1, 2020 | ||
| Lewis Gantman |
Corporate Director | Jan 1, 2019 | |
| Corporate Director | Jul 1, 2020 | ||
| Jefferson Health Corporation |
5% Or Greater Direct Ownership Interest | May 23, 2008 | |
| Operational/Managerial Control | May 23, 2008 | ||
| 5% Or Greater Direct Ownership Interest | Jun 30, 2024 | 100% | |
| Matthew Levitties |
Corporate Director | May 23, 2008 | |
| John Korman |
Corporate Director | May 23, 2008 | |
| Alberto Esquenazi |
Corporate Director | May 23, 2008 | |
| W-2 Managing Employee | May 23, 2008 | ||
| Deborah L Pierce |
Corporate Director | Jul 1, 2020 | |
| Jose Melendez |
Corporate Director | May 23, 2008 | |
| Patrick J Macmillan |
Corporate Officer |
Jun 1, 2026 | |
| Gregory H Stein |
Corporate Director | Jul 1, 2014 | |
| Ellen Kraftsow-Kogan |
Corporate Director | May 23, 2008 | |
| Steven Berk |
Corporate Director | May 23, 2008 | |
| Walter Wyatt |
W-2 Managing Employee | May 23, 2008 | |
| Madalyn Rovinsky |
Corporate Director | Jul 1, 2020 | |
| Carole Ben-Maimon |
Corporate Director | May 23, 2008 | |
| Susan Klehr |
Corporate Director | Jul 1, 2014 | |
| Robert Lee Thomas |
Corporate Officer |
Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080529000532 | PA | Part a Provider - Hospital | 3971412297 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA |
| O20160407000670 | PA | Part a Provider - Hospital | 3971412297 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blue Bell, PA; Plymouth Meeting, PA; Norristown, PA; Lansdale, PA; King of Prussia, PA; Jenkintown, PA; Elkins Park, PA; East Norriton, PA… |
National Provider Directory
- Tax ID family
- Albert Einstein Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 270601 | PA | Yes |
Addresses
Primary practice location
5501 Old York Rd
Phila, PA 19141-3018
Mailing address
5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-6611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007544140081 | Medicaid | PA |
Other providers in Phila, PA
- Michele Renee Aguado
- Ahashta Johnson
- Monjur Ahmed
- Yoon J Ahn
- Salman Akhtar
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
All providers in Phila, PA · General Acute Care Hospital 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, 2008. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.