NPIMap

Organization Active NPI

Thomas Jefferson University Hospital, Department of Neurosurgery

  • Critical Access Hospital
  • Philadelphia, PA
National Provider Identifier
1437388345
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
THOMAS JEFFERSON UNIVERSITY HOSPITAL, DEPARTMENT OF NEUROSURGERY
Practice address
909 Walnut St
Philadelphia, PA 19107-5211
Phone
(215) 955-7008
NPI assigned
Jul 13, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Ms. Christina Mary Defamio, CRNP
Title
Nurse Practitioner
Phone
(856) 343-7796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

909 Walnut St
Philadelphia, PA 19107-5211

Mailing address

2609 Atlantic Ave Apt 1
Longport, NJ 08403-1200
Phone (856) 343-7796

Other identifiers 1

IdentifierTypeStateIssuer
009243OtherPACRNP PRESCRIPTIVE AUTHORITY

National Provider Directory

National Provider Directory

Locations

909 Walnut St
Philadelphia, PA 19107
Phone (215) 955-6215

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1437388345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 ATLANTIC AVE APT 1",
            "city": "LONGPORT",
            "state": "NJ",
            "postal_code": "084031200",
            "telephone_number": "856-343-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-955-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY HOSPITAL, DEPARTMENT OF NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "DEFAMIO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "856-343-7796",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP PRESCRIPTIVE AUTHORITY",
            "identifier": "009243",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2009; 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.