Einstein Practice Plan Inc
Organization Active NPI Nephrology Physician · Philadelphia, PA
NPI 1174580559 · NPPES record last updated Dec 31, 2012
Key facts
- NPI
- 1174580559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- EINSTEIN PRACTICE PLAN INC
- Practice address
- 5501 Old York Rd
Levy Ground Floor
Philadelphia, PA 19141-3018 - Phone
- (215) 456-6970
- Fax
- (215) 254-2599
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary Jackson
- Title
- Director-Einstein Practice Plan Inc
- Phone
- (215) 456-7000
Other NPIs on the same Medicare enrollment 42
Corporate family (same tax ID) 31
Practitioners 18
-
Michelle Anderson, CRNP
-
Eric J Bloom, MD
-
Sweta Vania Carpenter, M.D.
-
Richard Thomas Gargiulo, D.O.
-
Marcia Goldstein, CRNP
-
Astha Gupta, MBBS
-
Saurabh Gupta, M.D
-
Murielle Marie Jeanty, CRNP
-
Christos Kallis, MB.BS
-
Fareeha Mubin, MD
-
Manu Krishan Dev Saini, M.D.
-
Ji Young Shin, MD
-
Bernadette M Sheeron, CRNP
-
Anne Vigderman, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000728 | PA | Part B Supplier - Clinic/Group Practice | 2769395896 |
Receives reassigned benefits from 1,396 practitioners 42 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Neurology Assoc
Locations
5501 Old York Rd
Fl MOSS4
Philadelphia, PA 19141
5501 Old York Rd
Ste 300
Philadelphia, PA 19141
Phone (215) 456-6950
3330 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 427-2242
5933 N Broad St
Philadelphia, PA 19141
Phone (215) 549-5000
5401 Old York Rd
Ste 505
Philadelphia, PA 19141
Phone (215) 456-6933
5501 Old York Rd
#300
Philadelphia, PA 19141
633 W Germantown Pike
Ste 105
Plymouth Mtng, PA 19462
Phone (610) 941-6799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
5501 Old York Rd
Levy Ground Floor
Philadelphia, PA 19141-3018
Mailing address
PO Box 8500-8735
Philadelphia, PA 19178-8735
Phone (215) 456-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007706230139 | Medicaid | PA |
Other names
- Einstein Nephrology Associates
Other providers in Philadelphia, PA
- Einstein Podiatry Associates LLC
- Einstein Podiatry Associates LLC
- Einstein Practice Plan
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
All providers in Philadelphia, PA · Nephrology 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 Dec 31, 2012. 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.