NPIMap

Organization Active NPI

Temple Physicians Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Phila, PA
National Provider Identifier
1801026125
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
TEMPLE PHYSICIANS INC
Practice address
9331 Old Bustleton Ave
Suite 100
Phila, PA 19115-4204
Phone
(215) 671-0653
Fax
(215) 671-0970
NPI assigned
Jul 21, 2009
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
TEMPLE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Eric Mankin, MD
Title
Ceo
Phone
(215) 926-9050

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NU
Gerontology Registered Nurse 163WG0600X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

9331 Old Bustleton Ave
Suite 100
Phila, PA 19115-4204

Mailing address

9331 Old Bustleton Ave
Suite 100
Phila, PA 19115-4204
Phone (215) 671-0653

Other identifiers 2

IdentifierTypeStateIssuer
597586OtherPAMEDICARE GROUP
CD4829OtherPARR MEDICARE

Other names 1

  • TEMPLE PHYSICIANS SENIOR HEALTH Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000054 PA Part B Supplier - Clinic/Group Practice 2062317233 Receives reassigned benefits from 494 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Temple Physicians Inc C77 organizations share this tax ID, including this one
Part of
Temple Physicians Inc C

Organizations with this tax ID in the same state 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1801026125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 OLD BUSTLETON AVE",
            "address_2": "SUITE 100",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191154204",
            "telephone_number": "215-671-0653",
            "fax_number": "215-671-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 OLD BUSTLETON AVE",
            "address_2": "SUITE 100",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191154204",
            "telephone_number": "215-671-0653",
            "fax_number": "215-671-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
        "enumeration_date": "2009-07-21",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-926-9050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD4829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEMPLE PHYSICIANS SENIOR HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.