NPIMap

Organization Active NPI

Penn Presbyterian Medical Center

  • General Acute Care Hospital
  • Phila, PA
National Provider Identifier
1497804249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PENN PRESBYTERIAN MEDICAL CENTER
Practice address
51 N 39TH St
Phila, PA 19104-2640
Phone
(215) 662-2709
Fax
(215) 615-0432
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas McCormick
Title
Assistant Vice President
Phone
(215) 662-2709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

51 N 39TH St
Phila, PA 19104-2640

Mailing address

3101 Market St
Phila, PA 19104-2807
Phone (215) 662-2709

Other identifiers 1

IdentifierTypeStateIssuer
1007297070018MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Med Ctr15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

3101 Market St
Philadelphia, PA 19104
Phone (215) 349-5150

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497804249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MARKET ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191042807",
            "telephone_number": "215-662-2709",
            "fax_number": "215-615-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-2709",
            "fax_number": "215-615-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN PRESBYTERIAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT",
        "authorized_official_telephone_number": "215-662-2709",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007297070018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.