NPIMap

Organization Active NPI

Drexel University

Doing business as Drexel OBGYN Center for Genetics & Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1629005152
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
DREXEL UNIVERSITY
Doing business as
Drexel OBGYN Center for Genetics & Fetal Medicine
Practice address
216 N Broad St
4TH Floor
Philadelphia, PA 19102-1121
Phone
(215) 762-4000
Fax
(215) 762-4323
NPI assigned
Jun 28, 2006
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dave Janiec
Title
Director of Payer Contracting
Phone
(215) 255-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Primary

Addresses

Primary practice location

216 N Broad St
4TH Floor
Philadelphia, PA 19102-1121

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822

Other names 1

  • Drexel OBGYN Center for Genetics & Fetal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729001682 PA Part B Supplier - Clinic/Group Practice 5496664740 Receives reassigned benefits from 340 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Warminster, PA; Elkins Park, PA

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory

Locations (25 of 26)

100 Arch St
Redwood City, CA 94062

8380 Old York Rd
Ste 1200
Elkins Park, PA 19027
Phone (215) 780-3180

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

136 Diamond St
Philadelphia, PA 19122
Phone (215) 426-8100

1435 Vine St
Fl 1
Philadelphia, PA 19102

1501 Cherry St
Fl 2
Philadelphia, PA 19102

215 N Broad St
Fl 5
Philadelphia, PA 19107

216 N Broad St
Fl 1
Philadelphia, PA 19102
Phone (215) 762-1998

216 N Broad St
Fl 4
Philadelphia, PA 19102
Phone (215) 762-3600

219 N Broad St
Fl 1
Philadelphia, PA 19107
Phone (215) 762-5145

219 N Broad St
Ste 8
Philadelphia, PA 19107
Phone (215) 762-4005

227 N Broad St
Ste 100
Philadelphia, PA 19107
Phone (215) 762-1857

230 N Broad St
Fl 15
Philadelphia, PA 19102
Phone (215) 762-2640

230 N Broad St
Fl 4
Philadelphia, PA 19102
Phone (215) 762-1738

245 N 15th St
Fl 5
Philadelphia, PA 19102

245 N 15th St
Stop 502
Philadelphia, PA 19102
Phone (215) 762-4680

245 N Broad St
Ste 744N
Philadelphia, PA 19107

246 N Broad St
Philadelphia, PA 19102

3201 Arch St
Ste 420
Philadelphia, PA 19104

3301 Market St
Philadelphia, PA 19104
Phone (215) 552-7012

3301 Market St
Fl 1
Philadelphia, PA 19104

3301 Market St
Rm 210
Philadelphia, PA 19104
Phone (215) 571-4287

4190 City Line Ave
Ste 418
Philadelphia, PA 19131
Phone (215) 477-4960

60 N 36th St
Fl 11
Philadelphia, PA 19104
Phone (267) 359-5741

8815 Germantown Ave
Ste 22
Philadelphia, PA 19118
Phone (215) 248-4340

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1629005152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-4000",
            "fax_number": "215-762-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "JANIEC",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CONTRACTING",
        "authorized_official_telephone_number": "215-255-7766"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drexel OBGYN Center for Genetics & Fetal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2014; 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.

Verify at the official NPI Registry.