NPIMap

Organization Active NPI

Albert Einstein Medical Center

Doing business as MossRehab

  • Rehabilitation Hospital Unit
  • Phila, PA
National Provider Identifier
1174522114
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
270601 Issued in PA
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
MossRehab
Practice address
5501 Old York Rd
Phila, PA 19141-3018
Phone
(215) 456-6611
Fax
(215) 457-4304
NPI assigned
Jul 20, 2005
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mr. Samuel Russo
Title
Corp Director of Finance
Phone
(215) 456-6611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 270601 PA Primary
General Acute Care Hospital 282N00000X 270601 PA

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 1

IdentifierTypeStateIssuer
1006808490010MedicaidPA

Other names 1

  • MossRehab Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080530000642 PA Part A Provider - Hospital 3971412297 Practice locations: Philadelphia, PA
O20160126001792 PA Part A Provider - Hospital 3971412297 Practice locations: Langhorne, PA; Doylestown, PA; Elkins Park, PA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1174522114. Details of each certification follow.

Hospital certification: CCN 39T142

Legal name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
MOSSREHAB
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1952 in PA
Enrollment address
5501 Old York Road
Aemc Moss Main Campus
Philadelphia, PA 19141-3018
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Hospital certification: CCN 39T142A

Legal name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
MOSS REHAB
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1952 in PA
Enrollment address
60 East Township Line Road
Elkins Park, PA 19027-2220
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Moss RehabCCN 39T142 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1992

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0199671Moss Rehab Einstein at Elkins Park60 East Township Line Road, Elkins Park, PA 19027AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

5501 Old York Rd
Frnt St
Philadelphia, PA 19141

Ownership & related parties

All disclosed owners & managing parties 26

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 Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2021 100%
Dixieanne James Individual Corporate OfficerPresident Jul 1, 2020
W-2 Managing EmployeePresident Jul 1, 2020
Cristina Cavalieri Individual Corporate OfficerSecretary Jul 1, 2023
Lewis Gantman Individual Corporate Director Jul 1, 2016
Corporate Director Jul 1, 2020
Jefferson Health Corporation Organization, Philadelphia, PA Corporation, Holding company, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2024 100%
5% Or Greater Direct Ownership Interest May 8, 2008
Operational/Managerial Control May 8, 2008
Robert Lee Thomas Individual Corporate OfficerChief Accounting Officer Jul 1, 2025
Patrick J Macmillan Individual Corporate OfficerVP Finance Jun 1, 2026
Michele Daniele Individual Corporate OfficerAssistant Secretary Jul 1, 2023
US Bank National Association Organization, Philadelphia, PA Financial institution 5% Or Greater Security Interest Jun 18, 2009
Walter Wyatt Individual Corporate Officer Jul 1, 2011
W-2 Managing Employee May 8, 2008
David M Jaspan Individual Corporate Director Jul 1, 2020
W-2 Managing Employee Jul 1, 2020
Paul Weiss Individual Corporate Director Jul 1, 2020
Robert Lipstein Individual Corporate Director Jul 1, 2020
Eric Raymond Individual Corporate Director Jul 1, 2011
Lawrence Reichlin Individual Corporate Director Jul 1, 2020
Matthew Levitties Individual Corporate Director May 8, 2008
John Korman Individual Corporate Director May 8, 2008
Alberto Esquenazi Individual Corporate Director May 8, 2008
W-2 Managing Employee May 8, 2008
Deborah L Pierce Individual Corporate Director Jul 1, 2020
Jose Melendez Individual Corporate Director May 8, 2008
Gregory H Stein Individual Corporate Director Jul 1, 2020
Ellen Kraftsow-Kogan Individual Corporate Director May 8, 2008
Steven Berk Individual Corporate Officer Jul 1, 2011
Corporate Director May 8, 2008
Madalyn Rovinsky Individual Corporate Director Jul 1, 2020
Carole Ben-Maimon Individual Corporate Director May 8, 2008
Susan Klehr Individual Corporate Director Jul 1, 2011

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 16

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 16

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1174522114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6611",
            "fax_number": "215-457-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6611",
            "fax_number": "215-457-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CORP DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "215-456-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "270601",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "270601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006808490010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MossRehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.