Graysferry Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD055881L Issued in PA

Legal business name

GRAYSFERRY MEDICAL CENTER

Practice address

2501 Reed St
Phila, PA 19146-3900

Phone

(215) 468-7220

Fax

(215) 468-7221

NPI assigned

May 4, 2007

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacque Yvette Curtis, M.D.

Title

President

Phone

(215) 468-7220

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Daphne M Goldberg, MD

  • Family Medicine Physician
  • Haverford, PA
  • NPI 1023125812
  NPD (past)
• Carver A Hills, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1831123025
  NPD (past)
• James A Nicholson, MD

  • Family Medicine Physician
  • Lebanon, PA
  • NPI 1265469159
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1639381254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST STE 200",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191071531",
            "telephone_number": "215-468-7220",
            "fax_number": "215-468-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 REED ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191463900",
            "telephone_number": "215-468-7220",
            "fax_number": "215-468-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSFERRY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-468-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD055881L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakecia Graham, DH
• Grandfriendz, Inc.
• Desirea Grant, RN
• Vaughan C Graves, MD
• Tamara Raquel Gray, B.S.ED.
• Great American Optical (jelimeburner)
• Greater Philadelphia Health Action, Inc. (GPHA Wilson Park Dental Services)
• Greater Philadelphia Health Action, Inc. (GPHA Wilson Park Medical Center)
• Green Supportive Care
• Joshua Green, M.D.

• Internal Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.