NPIMap

Individual provider Active NPI

Jorge Ignacio Mora, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1720167257
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD424178 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-7772
Fax
(215) 349-8038
NPI assigned
Nov 3, 2006
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD424178 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD424178 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7772

Other identifiers 1

IdentifierTypeStateIssuer
102093950MedicaidPA

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
I20080312000376 PA Practitioner - Sleep MedicinePractitioner - Pulmonary Disease 6103928940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pulmonary Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD424178PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Pulmonary Disease CurrentSince Mar 1, 2008 Accepting new patients
Einstein Practice Plan Inc CurrentSince Mar 1, 2008 Accepting new patients
University of Penn - Medical Group CurrentSince Jan 16, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 16, 2017 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
University of Penn-Medical Group CurrentSince Jan 16, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 16, 2017 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Memorial Hospital Pulmonary Disease Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Pulmonary Disease Past Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

5401 Old York Rd
Ste 300
Philadelphia, PA 19141
Phone (215) 456-6950

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

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

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1720167257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-7772",
            "fax_number": "215-349-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-7772",
            "fax_number": "215-349-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "JORGE",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD424178",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD424178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102093950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.