NPIMap

Organization Active NPI

Einstein Practice Plan, Inc.

Doing business as Einstein Hepatology Associates

  • Transplant Hepatology Physician
  • Philadelphia, PA
National Provider Identifier
1265923072
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
Legal business name
EINSTEIN PRACTICE PLAN, INC.
Doing business as
Einstein Hepatology Associates
Practice address
5401 Old York Rd Ste 505
Philadelphia, PA 19141-3047
Phone
(215) 456-8242
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Dawn Candia
Title
Supervisor, Provider Enrollment
Phone
(215) 456-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Hepatology Physician 207RT0003X PA Primary

Addresses

Primary practice location

5401 Old York Rd Ste 505
Philadelphia, PA 19141-3047

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470

Other identifiers 1

IdentifierTypeStateIssuer
1007706230139MedicaidPA

Other names 1

  • Einstein Hepatology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20170329000690 DE Part B Supplier - Clinic/Group Practice 2769395896 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, DE; Wilmington, DE; Newark, DE; Chalfonte Wilmington, DE

Other NPIs on the same Medicare enrollment 42

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 42

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1265923072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD STE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413047",
            "telephone_number": "215-456-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN PRACTICE PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "CANDIA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "215-456-4694"
    },
    "taxonomies": [
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007706230139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Einstein Hepatology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Einstein Hepatology Associates",
            "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 May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.