Organization Active NPI

Einstein Community Health Associates, Inc

  • Urgent Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1174806459
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC
Doing business as
Einstein FastCare at ShopRite
Practice address
2385 W Cheltenham Ave
Philadelphia, PA 19150-1506
Phone
(215) 885-2043
NPI assigned
Sep 23, 2011
Organization subpart
Yes
Parent organization
EINSTEIN COMMUNITY HEALTH ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Mrs. Mary Margaret Jackson
Title
Director
Phone
(215) 456-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2385 W Cheltenham Ave
Philadelphia, PA 19150-1506

Mailing address

101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2421
Phone (215) 456-7000

Other names 1

  • Einstein FastCare at ShopRite Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Einstein Community Health Associates Inc6 organizations share this tax ID, including this one
Part of
Einstein Community Health Associates Inc

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1174806459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 W CHELTENHAM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501506",
            "telephone_number": "215-885-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-456-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Einstein FastCare at ShopRite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.