NPIMap

Organization Active NPI

Jefferson University Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
National Provider Identifier
1205272804
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
JEFFERSON UNIVERSITY HOSPITAL
Practice address
1025 Walnut St
Suite 801
Philadelphia, PA 19107-5001
Phone
(215) 955-8768
Fax
(215) 955-3890
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Angela Crudele, M.D.
Title
Resident
Phone
(215) 955-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1025 Walnut St
Suite 801
Philadelphia, PA 19107-5001

Mailing address

1025 Walnut St
Suite 801
Philadelphia, PA 19107-5001
Phone (215) 955-8768

National Provider Directory

National Provider Directory

Locations

1025 Walnut St
#801
Philadelphia, PA 19107
Phone (215) 955-8768

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1205272804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WALNUT ST",
            "address_2": "SUITE 801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075001",
            "telephone_number": "215-955-8768",
            "fax_number": "215-955-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WALNUT ST",
            "address_2": "SUITE 801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075001",
            "telephone_number": "215-955-8768",
            "fax_number": "215-955-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "CRUDELE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "215-955-8768",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2013; 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.