NPIMap

Organization Active NPI

Einstein Practice Plan Inc

Doing business as Einstein Gastroenterology Assoc

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1679525372
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EINSTEIN PRACTICE PLAN INC
Doing business as
Einstein Gastroenterology Assoc
Practice address
5401 Old York Road
Klein 363
Philadelphia, PA 19141
Phone
(215) 456-8210
Fax
(215) 455-1933
NPI assigned
May 17, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Francine Bargeron
Title
Director Einstein Practice Plan Inc
Phone
(215) 456-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Gastroenterology Physician 207RG0100X NU

Addresses

Primary practice location

5401 Old York Road
Klein 363
Philadelphia, PA 19141

Mailing address

101 E Olney Avenue
Suite 400
Philadelphia, PA 19120
Phone (215) 456-7000

Other identifiers 1

IdentifierTypeStateIssuer
1007706730139MedicaidPA

Other names 1

  • Einstein Gastroenterology Assoc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040219000728 PA Part B Supplier - Clinic/Group Practice 2769395896 Receives reassigned benefits from 1,396 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20170329000690 DE Part B Supplier - Clinic/Group Practice 2769395896 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Dover, DE; Wilmington, DE; Newark, DE; Chalfonte Wilmington, DE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 42

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

View all 42

National Provider Directory

National Provider Directory

Locations

700 W Germantown Pike
Ste 101
Norristown, PA 19403
Phone (610) 233-3660

1200 W Tabor Rd
Fl 4
Philadelphia, PA 19141
Phone (215) 456-3815

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1679525372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVENUE",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK ROAD",
            "address_2": "KLEIN 363",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-456-8210",
            "fax_number": "215-455-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN PRACTICE PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "BARGERON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "DIRECTOR EINSTEIN PRACTICE PLAN INC",
        "authorized_official_telephone_number": "215-456-7000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007706730139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Einstein Gastroenterology Assoc",
            "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 Dec 7, 2007; 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.