NPIMap

Organization Active NPI

Methodist Associates in Healthcare, Inc.

Doing business as Jefferson Community Physicians - Urogynecology

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Philadelphia, PA
National Provider Identifier
1417415258
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE, INC.
Doing business as
Jefferson Community Physicians - Urogynecology
Practice address
833 Chestnut St FRNT 1
Philadelphia, PA 19107-4420
Phone
(215) 955-5000
Fax
(215) 923-1089
NPI assigned
Mar 12, 2019
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
METHODIST ASSOCIATES IN HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Hristos Ristas
Title
VP
Phone
(215) 955-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VF0040X Primary

Addresses

Primary practice location

833 Chestnut St FRNT 1
Philadelphia, PA 19107-4420

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 503-1240

Other names 1

  • Jefferson Community Physicians - Urogynecology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Methodist Anesthesia PR38 organizations share this tax ID, including this one
Part of
Methodist Anesthesia PR

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1417415258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FRNT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074420",
            "telephone_number": "215-955-5000",
            "fax_number": "215-923-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC.",
        "enumeration_date": "2019-03-12",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "RISTAS",
        "authorized_official_first_name": "HRISTOS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "215-955-9298"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community Physicians - Urogynecology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Community Physicians - Urogynecology",
            "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 Oct 13, 2022; 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.