NPIMap

Organization Active NPI

Methodist Associates in Healthcare, Inc.

Doing business as Jefferson Community Physicians

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1457564049
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE, INC.
Doing business as
Jefferson Community Physicians
Practice address
2301 South Broad Street
Philadelphia, PA 19148
Phone
(215) 952-9936
Fax
(215) 952-1247
NPI assigned
May 8, 2007
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

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, Health Plan Services
Phone
(215) 955-9298

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Family Medicine Physician 207Q00000X PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X PA
Internal Medicine Physician 207R00000X PA
Cardiovascular Disease Physician 207RC0000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X
Gynecology Physician 207VG0400X
Neurology Physician 2084N0400X PA
Hospitalist Physician 208M00000X

Addresses

Primary practice location

2301 South Broad Street
Philadelphia, PA 19148

Mailing address

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

Other names 1

  • Jefferson Community Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Methodist Practice Plan38 organizations share this tax ID, including this one

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1457564049",
    "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": "2301 SOUTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-952-9936",
            "fax_number": "215-952-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "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, HEALTH PLAN SERVICES",
        "authorized_official_telephone_number": "215-955-9298"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Community Physicians",
            "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.