NPIMap

Organization Active NPI

Drexel University

Doing business as DU Nutrition Sciences Services

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1366870842
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
DN003103 Issued in PA
Legal business name
DREXEL UNIVERSITY
Doing business as
DU Nutrition Sciences Services
Practice address
1601 Cherry St FL 2
Parkway Health & Wellness Ms21041
Philadelphia, PA 19102-1306
Phone
(215) 552-7012
Fax
(215) 552-7019
NPI assigned
Oct 21, 2013
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DREXEL UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Dr. Stella Volpe, PHD
Title
Chair, Nutrition Sciences
Phone
(215) 762-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X DN003103 PA Primary

Addresses

Primary practice location

1601 Cherry St FL 2
Parkway Health & Wellness Ms21041
Philadelphia, PA 19102-1306

Mailing address

1601 Cherry St FL 2
Parkway Health & Wellness Ms21041
Philadelphia, PA 19102-1306
Phone (215) 552-7012

Other names 1

  • DU Nutrition Sciences Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729001682 PA Part B Supplier - Clinic/Group Practice 5496664740 Receives reassigned benefits from 340 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Warminster, PA; Elkins Park, PA

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory
Tax ID family
Drexel University21 organizations share this tax ID, including this one
Part of
Drexel University

Other organizations with this tax ID 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1366870842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST FL 2",
            "address_2": "PARKWAY HEALTH & WELLNESS MS21041",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021306",
            "telephone_number": "215-552-7012",
            "fax_number": "215-552-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST FL 2",
            "address_2": "PARKWAY HEALTH & WELLNESS MS21041",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021306",
            "telephone_number": "215-552-7012",
            "fax_number": "215-552-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREXEL UNIVERSITY",
        "enumeration_date": "2013-10-21",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "VOLPE",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CHAIR, NUTRITION SCIENCES",
        "authorized_official_telephone_number": "215-762-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "DN003103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DU Nutrition Sciences Services",
            "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 Jun 30, 2014; 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.