Individual provider Active NPI

Elizabeth Copeland Wright-Jin, M.D., PH.D.

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1568843779
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD470421 Issued in PA
Practice address
833 Chestnut St Ste 300
Philadelphia, PA 19107-4405
Phone
(215) 861-8833
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2015017861 MO
Neurology Physician 2084N0400X MD470421 PA Primary

Addresses

Primary practice location

833 Chestnut St Ste 300
Philadelphia, PA 19107-4405

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200

Other practice location 1

1 Childrens Pl # 3S34
Saint Louis, MO 63110-1002
Phone (314) 454-6006

Other practice location 2

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210115000042 NJ Practitioner - Neurology 5092128827 Reassigns benefits to 1 organization
I20210115000109 DE Practitioner - Neurology 5092128827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2015017861MOMDPediatrics Physician
MD470421PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nemours New Jersey Physician Practice, P.C. Pediatrics CurrentSince Oct 14, 2020 Accepting new patients
The Nemours Foundation CurrentSince Oct 14, 2020 Accepting new patients
The Nemours Foundation CurrentSince Oct 14, 2020 Accepting new patients
The Nemours Foundation Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

833 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 861-8800

Interoperability endpoints

  • Direct secure messaging: ewrightjin82629@direct.nemours.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1568843779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074405",
            "telephone_number": "215-861-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Pl # 3S34",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101002",
            "country_code": "US",
            "telephone_number": "314-454-6006",
            "fax_number": "314-454-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT-JIN",
        "first_name": "ELIZABETH",
        "middle_name": "COPELAND",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015017861",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD470421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.