NPIMap

Organization Active NPI

Temple Physicians Inc.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1316098635
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEMPLE PHYSICIANS INC.
Practice address
525 Jamestown St
Suite 201
Philadelphia, PA 19128-1751
Phone
(215) 214-2412
Fax
(215) 482-1251
NPI assigned
Jan 15, 2007
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TEMPLE PHYSICIANS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Bridget Ferrarie
Title
Sr. Manager Payer Credentialing
Phone
(215) 707-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

525 Jamestown St
Suite 201
Philadelphia, PA 19128-1751

Mailing address

3500 N Broad St
Philadelphia, PA 19140-4106

Other identifiers 10

IdentifierTypeStateIssuer
0470305OtherPAAETNA HMO
100727800MedicaidPA
36547OtherPAHEALTH PARTNERS SITE #
1961863OtherPAHIGHMARK BLUE SHIELD
0287357OtherPACIGNA CAP & PPO
0756985038OtherPAIBC (KHPE & PC)
15332OtherPAELDER HEALTH
5977613OtherPAAETNA PPO
1025793OtherPAKEYSTONE MERCY
CD4829OtherPARRM

Other names 1

  • Jamestown Family Medicine Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000054 PA Part B Supplier - Clinic/Group Practice 2062317233 Receives reassigned benefits from 494 practitioners
This NPI is an additional NPI on the enrollment

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
39D2108092Temple Faculty Physicians- OB/GYN525 Jamestown Street Suite 107, Philadelphia, PA 19128Provider-performed microscopyJan 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Temple Physicians Inc C77 organizations share this tax ID, including this one
Part of
Temple Physicians Inc C

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1316098635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-214-2412",
            "fax_number": "215-482-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIANS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC.",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "FERRARIE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "SR. MANAGER PAYER CREDENTIALING",
        "authorized_official_telephone_number": "215-707-2433"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0470305",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100727800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS SITE #",
            "identifier": "36547",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1961863",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA CAP & PPO",
            "identifier": "0287357",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC (KHPE & PC)",
            "identifier": "0756985038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH",
            "identifier": "15332",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5977613",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1025793",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "CD4829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestown Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.