NPIMap

Organization Active NPI

Jefferson University Physicians

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1689848830
Registry record updated Oct 14, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JEFFERSON UNIVERSITY PHYSICIANS
Practice address
833 Chestnut St
Suite 630
Philadelphia, PA 19107-4414
Phone
(215) 955-0800
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Hristos Ristas
Title
VP
Phone
(215) 955-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

833 Chestnut St
Suite 630
Philadelphia, PA 19107-4414

Mailing address

PO Box 828937 Suite 630
Philadelphia, PA 19182-8937
Phone (215) 503-1240

Other identifiers 6

IdentifierTypeStateIssuer
0052967000OtherPAINDEPENDENCE BLUE CROSS
1002144OtherPAKEYSTONE MERCY
45169OtherPAKEYSTONE MERCY
170919OtherPAHIGHMARK BLUE SHIELD
477737OtherPAAETNA
7609400MedicaidNJ

Other names 1

  • OB/GYN- General Other name

National Provider Directory

National Provider Directory
Tax ID family
Gerald Scharf63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1689848830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937 SUITE 630",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 630",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON UNIVERSITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "RISTAS",
        "authorized_official_first_name": "HRISTOS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "215-955-9298"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0052967000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1002144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "45169",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "170919",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "477737",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7609400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB/GYN- General",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OB/GYN- General",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 14, 2022; 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.