Organization Active NPI

Albert Einstein Medical Center

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
National Provider Identifier
1518174630
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
MT 188183 Issued in PA
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Practice address
5501 Old York Rd
Paley BLDG, 1St Floor. Pediatric and Adolescent Medicin
Philadelphia, PA 19141-3018
Phone
(215) 456-7170
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Carolina Pena-Ricardo, M.D.
Title
Pediatric Resident
Phone
(215) 456-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X MT 188183 PA Primary

Addresses

Primary practice location

5501 Old York Rd
Paley BLDG, 1St Floor. Pediatric and Adolescent Medicin
Philadelphia, PA 19141-3018

Mailing address

2967 W School House LN
Apt C 1003
Philadelphia, PA 19144-5222
Phone (267) 979-6626

National Provider Directory

National Provider Directory
Tax ID family
Einstein Hospital25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1518174630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 W SCHOOL HOUSE LN",
            "address_2": "APT C 1003",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445222",
            "telephone_number": "267-979-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "PALEY BLDG, 1ST FLOOR. PEDIATRIC AND ADOLESCENT MEDICIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "PENA-RICARDO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PEDIATRIC RESIDENT",
        "authorized_official_telephone_number": "215-456-3436",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT 188183",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 29, 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.