NPIMap

Organization Active NPI

Jefferson University Physicians

  • Medical Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1346414588
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
JEFFERSON UNIVERSITY PHYSICIANS
Practice address
925 Chestnut St Ste 320a
Philadelphia, PA 19107-4216
Phone
(215) 955-8874
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Authorized official

Name
Hristos Ristas
Title
VP of Provider Network Operations
Phone
(215) 955-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

925 Chestnut St Ste 320a
Philadelphia, PA 19107-4216

Mailing address

1100 Market St FL 30
Philadelphia, PA 19107-3601
Phone (215) 955-1175

Other identifiers 6

IdentifierTypeStateIssuer
0466144OtherPAAETNA
435778OtherPAHIGHMARK BLUE SHIELD
1051598OtherPAKEYSTONE MERCY
7616708MedicaidNJ
0358994000OtherPAINDEPENDENCE BLUE CROSS
1004298OtherPAKEYSTONE MERCY

Other names 1

  • Medical Oncology Other name

National Provider Directory

National Provider Directory
Tax ID family
David Kleinman63 organizations share this tax ID, including this one

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

Locations

1015 Chestnut St
Ste 1321
Philadelphia, PA 19107
Phone (215) 923-5676

1101 Chestnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 955-8435

2301 S Broad St
Ste 205
Philadelphia, PA 19148
Phone (215) 551-8660

111 S 11th St
Fl 14
Philadelphia, PA 19107
Phone (215) 955-9937

111 S 11th St
#14
Philadelphia, PA 19107

111 S 11th St
Ste G4240
Philadelphia, PA 19107
Phone (215) 955-6590

925 Chestnut St
Ste 302A
Philadelphia, PA 19107

834 Walnut St
Ste 110
Philadelphia, PA 19107
Phone (215) 503-4779

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1346414588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MARKET ST FL 30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073601",
            "telephone_number": "215-955-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST STE 320A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074216",
            "telephone_number": "215-955-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON UNIVERSITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "RISTAS",
        "authorized_official_first_name": "HRISTOS",
        "authorized_official_title_or_position": "VP OF PROVIDER NETWORK OPERATIONS",
        "authorized_official_telephone_number": "215-955-9298"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0466144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "435778",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1051598",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7616708",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0358994000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1004298",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Oncology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Medical Oncology",
            "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 Dec 13, 2020; 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.