NPIMap

Organization Active NPI

Tower Drexel Academic Medical Group LLC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1366086845
Registry record updated Nov 20, 2021
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Practice address
219 N Broad St FL 9
Philadelphia, PA 19107-1506
Phone
(610) 743-6049
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Authorized official

Name
Robert Ehinger
Title
Sr VP Financial Operations
Phone
(484) 628-4681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

219 N Broad St FL 9
Philadelphia, PA 19107-1506

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other names 1

  • INFUSION CENTER TOWER HEALTH MEDICAL GROUP BROAD STREET Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PROVIDERENROLLMENT@TOWERHEALTH.ORG Direct

National Provider Directory

National Provider Directory
Tax ID family
County Intermediate Unit18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1366086845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071506",
            "telephone_number": "610-743-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER DREXEL ACADEMIC MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "EHINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "484-628-4681"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PROVIDERENROLLMENT@TOWERHEALTH.ORG",
            "affiliation": "N",
            "endpointDescription": "PROVIDERENROLLMENT@TOWERHEALTH.ORG",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "219 N Broad St Fl 9",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191071506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INFUSION CENTER TOWER HEALTH MEDICAL GROUP BROAD STREET",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INFUSION CENTER TOWER HEALTH MEDICAL GROUP BROAD STREET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2021; 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.