NPIMap

Individual provider Active NPI

Jennifer S Nizen, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1689604746
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD046562L Issued in PA
Practice address
601 Walnut St
The Curtis Center Suite 6405
Philadelphia, PA 19106
Phone
(215) 829-0101
Fax
(215) 829-4349
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD046562L PA Primary

Addresses

Primary practice location

601 Walnut St
The Curtis Center Suite 6405
Philadelphia, PA 19106

Mailing address

601 Walnut St
The Curtis Center, Ste 230E
Philadelphia, PA 19106-3323
Phone (215) 829-0101

Other identifiers 1

IdentifierTypeStateIssuer
0012803930007MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000573 PA Practitioner - Internal Medicine 9032245220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

700 Spruce St
Suite 304J
Philadelphia, PA 19106-4023
Phone (215) 829-3521

Hospital & facility affiliations

  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Trustees of the University of Pennsylvania Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
University of Penn-Medical Group Internal Medicine CurrentSince Aug 6, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 6, 2023 Accepting new patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients

Locations

700 Spruce St
Ste 304
Philadelphia, PA 19106
Phone (215) 829-3521

800 Walnut St
Fl 16
Philadelphia, PA 19107
Phone (215) 829-0101

700 Spruce St
Philadelphia, PA 19106
Phone (215) 829-3001

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1689604746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "THE CURTIS CENTER, STE 230E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-829-0101",
            "fax_number": "215-829-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "THE CURTIS CENTER SUITE 6405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-829-0101",
            "fax_number": "215-829-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZEN",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD046562L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012803930007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.