NPIMap

Organization Active NPI

Thomas Jefferson University Hospitals Inc

  • Psychiatric Hospital Unit
  • Philadelphia, PA
National Provider Identifier
1124038799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
200801 Issued in PA
Legal business name
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC
Practice address
111 S 11TH St
2210 Gibbon Building
Philadelphia, PA 19107-4824
Phone
(215) 955-7106
Fax
(215) 955-8732
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Neil Lubarsky
Title
Senior Vice President for Finance
Phone
(215) 955-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 200801 PA Primary

Addresses

Primary practice location

111 S 11TH St
2210 Gibbon Building
Philadelphia, PA 19107-4824

Mailing address

PO Box 85009895
Philadelphia, PA 19178-0001
Phone (215) 955-7106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000488 PA Part A Provider - Hospital 8123080868 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124038799. Details of each certification follow.

Hospital certification: CCN 39S174

Legal name
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC
Organization structure
OtherNon-profit
Incorporated
Nov 3, 1995 in PA
Enrollment address
1020 Sansom Street
Thompson Building
Philadelphia, PA 19107-5004
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Thomas Jefferson Univ H13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 10

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 Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Dixieanne James Individual Corporate OfficerPresident Jan 12, 2023
W-2 Managing EmployeePresident Jan 12, 2023
Cristina Cavalieri Individual Corporate Officer Jul 1, 2017
George Deming Individual Corporate DirectorVice-Chair Jan 12, 2023
Mark Alderman Individual Corporate Director Aug 10, 2009
Robert Lee Thomas Individual Corporate OfficerChief Accounting Officer Jul 1, 2025
Kristin Barrett Individual Corporate DirectorAssistant Secretary Jan 12, 2023
Tjuh System Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 23, 2000 100%
Patrick J Macmillan Individual Corporate OfficerVP of Finance Jun 1, 2026
Walter Wyatt Individual Corporate OfficerVP of Finance Feb 1, 2025

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rothman Orthopaedic Specialty HospitalBensalem, PA, CCN 390322 Hospital 5% Or Greater Direct Ownership Interest (54%) May 26, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124038799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85009895",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "215-955-7106",
            "fax_number": "215-955-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "2210 GIBBON BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-7106",
            "fax_number": "215-955-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY HOSPITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUBARSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT FOR FINANCE",
        "authorized_official_telephone_number": "215-955-9895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "200801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.