NPIMap

Organization Active NPI

Thomas Jefferson University

  • Rehabilitation Hospital Unit
  • Philadelphia, PA
National Provider Identifier
1750694055
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
OS015126 Issued in PA
Legal business name
THOMAS JEFFERSON UNIVERSITY
Practice address
3801 Conshohocken Ave
Philadelphia, PA 19131-5530
Phone
(610) 597-6873
NPI assigned
Jul 15, 2010
Last updated
Jul 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Dr. Hussam A Yacoub, DO
Title
Fellow
Phone
(610) 597-6873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X OS015126 PA Primary

Addresses

Primary practice location

3801 Conshohocken Ave
Philadelphia, PA 19131-5530

Mailing address

3801 Conshohocken Ave
Apt 801
Philadelphia, PA 19131-5530
Phone (610) 597-6873

National Provider Directory

National Provider Directory
Tax ID family
Thomas Jefferson University Hospitals Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1750694055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CONSHOHOCKEN AVE",
            "address_2": "APT 801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315530",
            "telephone_number": "610-597-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CONSHOHOCKEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315530",
            "telephone_number": "610-597-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "HUSSAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FELLOW",
        "authorized_official_telephone_number": "610-597-6873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "OS015126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 2010; 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.