Active NPI
Temple Physicians Inc
- Adolescent Medicine (Family Medicine) Physician
- Phila, PA
National Provider Identifier
1497904049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- Legal business name
- TEMPLE PHYSICIANS INC
- Practice address
- 8025 Castor Ave
Phila, PA 19152-2733 - Phone
- (215) 745-9900
- Fax
- (215) 745-9902
- NPI assigned
- Sep 18, 2008
- Organization subpart
- Yes
- Parent organization
- TEMPLE PHYSICIANS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Mankin, MD
- Title
- Chief Executive Officer
- Phone
- (215) 926-9050
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
8025 Castor Ave
Phila, PA 19152-2733
Mailing address
PO Box 820933
Phila, PA 19182-0933
Phone (215) 926-9010
Other names 1
- JEANES FAMILY PRACTICE - MARA LEYZIN, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000054 | PA | Part B Supplier - Clinic/Group Practice | 2062317233 |
Receives reassigned benefits from 494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Temple Physicians Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222732800000",
"number": "1497904049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820933",
"city": "PHILA",
"state": "PA",
"postal_code": "191820933",
"telephone_number": "215-926-9010",
"fax_number": "215-226-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8025 CASTOR AVE",
"city": "PHILA",
"state": "PA",
"postal_code": "191522733",
"telephone_number": "215-745-9900",
"fax_number": "215-745-9902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE PHYSICIANS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-30",
"status": "A",
"authorized_official_last_name": "MANKIN",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "215-926-9050",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JEANES FAMILY PRACTICE - MARA LEYZIN, MD",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 30, 2008; 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.