Active NPI
Jefferson Acute Care Physicians, PC
- Urgent Care Clinic/Center
- Philadelphia, PA
National Provider Identifier
1548722002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- JEFFERSON ACUTE CARE PHYSICIANS, PC
- Practice address
- 2451 Grant Ave
Philadelphia, PA 19114-1031 - Phone
- (215) 934-3471
- Fax
- (215) 934-3472
- NPI assigned
- Apr 3, 2019
- Last updated
- Oct 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judd Hollander, MD
- Title
- Physician / Owner
- Phone
- (215) 934-3471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
2451 Grant Ave
Philadelphia, PA 19114-1031
Mailing address
PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 503-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400212 | Other | PA | MEDICARE PIN |
Other names 1
- Jefferson Urgent Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2107205 | Jefferson Urgent Care | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Jefferson Acute Care Physicians PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Bensalem, PA
- NPI 1689136145
-
- Urgent Care Clinic/Center
- Willow Grove, PA
- NPI 1952963027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665705600000",
"number": "1548722002",
"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",
"fax_number": "215-934-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 GRANT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141031",
"telephone_number": "215-934-3471",
"fax_number": "215-934-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON ACUTE CARE PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-03",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A",
"authorized_official_last_name": "HOLLANDER",
"authorized_official_first_name": "JUDD",
"authorized_official_title_or_position": "PHYSICIAN / OWNER",
"authorized_official_telephone_number": "215-934-3471",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "400212",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jefferson Urgent Care",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Jefferson Urgent Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
- Rachel Jeff-Macauley
- Steven Roland Jefferies, DDS
- Ann Jeffers
- Shanaye Jeffers, M.D.
- Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
- Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
- Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
- Jefferson Ambulatory Surgery Services, LLC (Jefferson Surgery Center - Torresdale)
- Jefferson Community Physicians
- Jefferson Family Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.