NPIMap

Organization Active NPI

Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1326093675
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JEFFERSON UNIVERSITY PHYSICIANS
Practice address
33 S. 9TH Street
Philadelphia, PA 19107
Phone
(215) 955-0000
Fax
(215) 955-0000
NPI assigned
May 24, 2006
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Mr. Hristos Ristas
Title
Assoc. VP, Health Plan Services
Phone
(215) 955-9298

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Dermatology Physician 207N00000X
Emergency Medicine Physician 207P00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Neurological Surgery Physician 207T00000X
Nuclear Medicine Physician 207U00000X
Obstetrics & Gynecology Physician 207V00000X
Otolaryngology Physician 207Y00000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Physical Medicine & Rehabilitation Physician 208100000X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X
Urology Physician 208800000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

33 S. 9TH Street
Philadelphia, PA 19107

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 503-1240

Other identifiers 2

IdentifierTypeStateIssuer
0414930 NJ LOCSMedicaidNJ
100772987 0101MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000232 PA Part B Supplier - Clinic/Group Practice 7911819180 Receives reassigned benefits from 2,129 practitioners
1 other NPI on this enrollment
O20240329000074 VA Part B Supplier - Clinic/Group Practice 7911819180 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 104)

3521 Silverside Rd
Ste 1L
Wilmington, DE 19810
Phone (302) 477-1991

1925 Pacific Ave
Fl 1
Atlantic City, NJ 08401
Phone (609) 441-8165

2211 Chapel Ave W
Ste 101
Cherry Hill, NJ 08002

2211 Chapel Ave W
Ste 243
Cherry Hill, NJ 08002

457 Haddonfield Rd
Fl 1
Cherry Hill, NJ 08002

950 S Chester Ave
Ste A
Delran, NJ 08075

2500 English Creek Ave
Ste 110A
Egg Harbor Township, NJ 08234

2500 English Creek Ave
Bldg A
Egg Harbor Twp, NJ 08234
Phone (609) 407-2310

243 Hurffville Crosskeys Rd
#101
Sewell, NJ 08080
Phone (856) 582-2000

454 Hurffville Crosskeys Rd
#16
Sewell, NJ 08080

188 Fries Mill Rd
Ste M3
Turnersville, NJ 08012
Phone (800) 434-6070

443 Laurel Oak Rd
Ste 100
Voorhees, NJ 08043
Phone (215) 955-1000

1200 Old York Rd
Ste 5
Abington, PA 19001
Phone (215) 481-4100

146 Montgomery Ave
Bala Cynwyd, PA 19004
Phone (267) 585-4476

830 Old Lancaster Rd
#S204
Bryn Mawr, PA 19010
Phone (610) 525-8646

1200 Manor Dr
Chalfont, PA 18914
Phone (215) 830-8700

1600 Horizon Dr
Ste 107
Chalfont, PA 18914
Phone (215) 997-3906

1078 W Baltimore Pike
Ste 2
Media, PA 19063
Phone (484) 227-4680

1118 W Baltimore Pike
Ste 302
Media, PA 19063
Phone (610) 480-6040

145 N Narberth Ave
Narberth, PA 19072
Phone (610) 667-0650

11 Industrial Blvd
Ste 203
Paoli, PA 19301
Phone (215) 955-1300

211 S 9th St
Ste 601
Phila, PA 19107
Phone (215) 955-1925

1015 Chestnut St
Ste 510
Philadelphia, PA 19107
Phone (215) 627-8487

1015 Chestnut St
Ste 902
Philadelphia, PA 19107
Phone (215) 955-8021

1015 Walnut St
Ste 319
Philadelphia, PA 19107
Phone (215) 955-6175

Practitioners & affiliated clinicians

Practitioners 2,448

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 2,448

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1326093675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S. 9TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-0000",
            "fax_number": "215-955-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON UNIVERSITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "RISTAS",
        "authorized_official_first_name": "HRISTOS",
        "authorized_official_title_or_position": "ASSOC. VP, HEALTH PLAN SERVICES",
        "authorized_official_telephone_number": "215-955-9298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414930 NJ LOCS",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100772987 0101",
            "state": "PA"
        }
    ],
    "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 Oct 21, 2022; 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.