NPIMap

Organization Active NPI

Einstein Practice Plan Inc

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1447217872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EINSTEIN PRACTICE PLAN INC
Practice address
5401 Old York Rd
Kluin BLDG - Suite 363
Philadelphia, PA 19141
Phone
(215) 456-7000
Fax
(215) 455-1933
NPI assigned
Apr 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Francine Bargeron
Title
Director-Einstein Practice Plan Inc
Phone
(215) 456-7000

Other NPIs on the same Medicare enrollment 42

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

View all 42

Practitioners 57

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

View all 57

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040219000728 PA Part B Supplier - Clinic/Group Practice 2769395896 Receives reassigned benefits from 1,396 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

5401 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-8220

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5401 Old York Rd
Kluin BLDG - Suite 363
Philadelphia, PA 19141

Mailing address

101 E Olney Ave
Suite 400
Philadelphia, PA 19120
Phone (215) 456-7000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1007706230139MedicaidPA

Other names 1

NPPES NPI Registry
  • Einstein Northern Division Medical Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447217872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLUIN BLDG - SUITE 363",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-456-7000",
            "fax_number": "215-455-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN PRACTICE PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARGERON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "DIRECTOR-EINSTEIN PRACTICE PLAN INC",
        "authorized_official_telephone_number": "215-456-7000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007706230139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Einstein Northern Division Medical Associates",
            "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 Aug 22, 2020; 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.