Active NPI
The Philip Jaisohn Memorial Foundation Inc
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE PHILIP JAISOHN MEMORIAL FOUNDATION INC
- Practice address
- 6705 Old York Rd
Philadelphia, PA 19126-2841 - Phone
- (215) 224-2000
- Fax
- (215) 224-8651
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Jung Soo Choe, PRESIDENT & CEO
- Title
- Chairman
- Phone
- (215) 224-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6705 Old York Rd
Philadelphia, PA 19126-2841
Mailing address
6705 Old York Rd
Philadelphia, PA 19126-2841
Phone (215) 224-2000
Other practice location 1
1180 Welsh Rd Ste 100
North Wales, PA 19454-2060
Phone (215) 997-2101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007340700003 | Medicaid | PA |
Other names 2
- Jaisohn Center
- Jaisohn Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- The Philip Jaisohn Memorial
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1063391746
Locations
2506 N Broad St
Ste 202
Colmar, PA 18915
Phone (215) 997-2101
1180 Welsh Rd
Ste 100
North Wales, PA 19454
Phone (215) 997-2101
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1063391746
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Philadelphia, PA
- NPI 1659319168
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1437199502
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1902866510
-
- Internal Medicine Physician
- Media, PA
- NPI 1588975163
-
- Family Nurse Practitioner
- Lansdowne, PA
- NPI 1003785262
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1710779384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1366498479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6705 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191262841",
"telephone_number": "215-224-2000",
"fax_number": "215-224-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6705 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191262841",
"telephone_number": "215-224-2000",
"fax_number": "215-224-8651"
}
],
"practiceLocations": [
{
"address_1": "1180 Welsh Rd Ste 100",
"address_purpose": "LOCATION",
"city": "North Wales",
"state": "PA",
"postal_code": "194542060",
"country_code": "US",
"telephone_number": "215-997-2101",
"fax_number": "215-997-2102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE PHILIP JAISOHN MEMORIAL FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "CHOE",
"authorized_official_first_name": "GEORGE JUNG",
"authorized_official_middle_name": "SOO",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "215-224-2000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PRESIDENT & CEO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007340700003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jaisohn Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jaisohn Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jaisohn Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- The Philadelphia Hand Center, PC
- The Philadelphia Hand Center, PC
- The Philadelphia Hand Center, PC
- The Philadelphia Nursing Home
- The Philip Jaisohn Memorial Foundation
- The Phlebototmy Institute Mobile
- The Presbyterian Home at 58TH Street
- The Private Ink Company
- The Progressions Companies, Inc.
- The Ray Organization LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.