NPIMap

Organization Active NPI

Magee Rehabilitation Hospital

  • Rehabilitation Hospital
  • Phila, PA
National Provider Identifier
1265410047
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
135301 Issued in PA
Legal business name
MAGEE REHABILITATION HOSPITAL
Doing business as
Magee Rehabilitation Hospital
Practice address
1513 Race St
Phila, PA 19102
Phone
(215) 587-3129
Fax
(215) 587-9405
NPI assigned
Jan 3, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mr. Stephen V. Destefano
Title
Cfo
Phone
(215) 587-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 135301 PA Primary

Addresses

Primary practice location

1513 Race St
Phila, PA 19102

Mailing address

PO Box 780616
Phila, PA 19178-0616
Phone (215) 587-3129

Other identifiers 2

IdentifierTypeStateIssuer
1007579170002MedicaidPA
393038OtherPAMEDICARE PTAN

Other names 2

  • Magee Rehabilitation Hospital Doing business as
  • Magee Memorial Hospital for Convalescents Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000301 PA Part A Provider - Hospital 1355349242 Practice locations: Langhome, PA; Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265410047. Details of each certification follow.

Hospital certification: CCN 393038

Legal name
MAGEE REHABILITATION HOSPITAL
Doing business as
MAGEE MEMORIAL HOSPITAL FOR CONVALESCENTS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 1, 1984
Last certification
Sep 26, 2019
Beds
96
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1956 in PA
Enrollment address
1513 Race Street
Philadelphia, PA 19102-1177
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Magee Rehabilitation HospitalCCN 393038 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file

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
39D0717879Magee Memorial Hosp for Convalescents, the1513 Race Street, Philadelphia, PA 19102Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Magee Rehabilitationhsp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1512 Race St
Philadelphia, PA 19102

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 OfficerSecretary Jul 1, 2022
Thomas Brown Individual Corporate OfficerVice-Chair Jul 1, 2022
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%
Alberto Esquenazi Individual Corporate OfficerChief Medical Officer Jul 1, 2023
Robert Lee Thomas Individual Corporate OfficerChief Accounting Officer Jul 1, 2025
Kristin Barrett Individual Corporate OfficerAssistant Secretary Jul 1, 2022
Alfred Dangelo Individual Corporate OfficerChairman Jul 1, 2022
Walter Wyatt Individual Corporate OfficerVP of Finance Jul 1, 2025

Owners & managing parties with NPI records 1

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 6

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.

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1265410047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780616",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191780616",
            "telephone_number": "215-587-3129",
            "fax_number": "215-587-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 RACE ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-587-3129",
            "fax_number": "215-587-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGEE REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-587-3332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "PA",
            "license": "135301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007579170002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "393038",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Magee Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magee Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magee Memorial Hospital for Convalescents",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.