Organization Active NPI

The Philip Jaisohn Memorial Foundation Inc

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1366498479
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 6, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0007340700003MedicaidPA

Other names 2

  • Jaisohn Center Doing business as
  • Jaisohn Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001240 PA Part B Supplier - Clinic/Group Practice 8729061742 Receives reassigned benefits from 5 practitioners
Practice locations: North Wales, PA; Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
The Philip Jaisohn Memorial2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.