Individual provider Active NPI

Eshban Emmanuel, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1356801518
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD488438 Issued in PA
Practice address
3509 N Broad St
Philadelphia, PA 19140-4105
Phone
(215) 707-3911
NPI assigned
Mar 23, 2019
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD488438 PA Primary

Addresses

Primary practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220825002553 FL Practitioner - Family Practice 4789068768
I20250512001328 NJ Practitioner - Family Practice 4789068768 Reassigns benefits to 2 organizations
I20250710000810 PA Practitioner - Family Practice 4789068768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

Practice addresses (Care Compare)

10 Shurs LN
Philadelphia, PA 19127-2123
Phone (215) 707-2098

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-3000

2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD488438PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRX Paramus, LLC CurrentSince Mar 7, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jul 1, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2026 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2026 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jul 1, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
CHH Community Health Past Accepting new patients
Virtua Medical Group, PA Family Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

475 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 553-6611

100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000

2225 E Evesham Rd
Ste 101
Voorhees, NJ 08043
Phone (856) 325-3700

10 Shurs Ln
Philadelphia, PA 19127
Phone (215) 482-0899

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

Interoperability endpoints

  • Direct secure messaging: eemmanuel2500984@direct.ccf.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1356801518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "ESHBAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD488438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.