NPIMap

Organization Active NPI

Thomas Jefferson University

  • Public Health or Welfare Agency
  • Philadelphia, PA
National Provider Identifier
1285777409
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
820114 Issued in PA
Legal business name
THOMAS JEFFERSON UNIVERSITY
Practice address
1021 S 21St St
2ND Floor
Philadelphia, PA 19146-2634
Phone
(215) 790-9942
Fax
(215) 503-2850
NPI assigned
Feb 15, 2007
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Sara M. Shane, PSY.D.
Title
Executive Director
Phone
(215) 890-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 820114 PA Primary

Addresses

Primary practice location

1021 S 21St St
2ND Floor
Philadelphia, PA 19146-2634

Mailing address

833 Chestnut St
Philadelphia, PA 19107-4414
Phone (215) 955-7910

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Community Onc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1021 S 21st St
Fl 2
Philadelphia, PA 19146
Phone (215) 790-9942

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1285777409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-7910",
            "fax_number": "215-503-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 21ST ST",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462634",
            "telephone_number": "215-790-9942",
            "fax_number": "215-503-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-890-6268",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "820114",
            "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 Jan 7, 2026; 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.