Einstein Practice Plan Inc
Organization Active NPI Internal Medicine Physician · Philadelphia, PA
NPI 1801853288 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1801853288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- EINSTEIN PRACTICE PLAN INC
- Practice address
- 5401 Old York Rd
Klein BLDG Suite 363
Philadelphia, PA 19141 - Phone
- (215) 456-6500
- Fax
- (215) 455-1933
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Francine Bargeron
- Title
- Director Einstein Practice Plan Inc
- Phone
- (215) 456-7000
Other NPIs on the same Medicare enrollment 42
Practitioners 319
-
Adedotun Adebamiro, M.D.
-
Alison Alexander, MD
-
Richard Allman, MD
-
Zurab Azmaiparashvili, M.D.
-
Daniel Boland, M.D.
-
Edward Bowman, MD
-
Carlene Bronikowski, D.O.
-
Jordan Brown, MD
-
Raminder Singh Cheema, M.D.
-
James Anthony Cody Jr., PA-C
-
Amanda M. Cordero, PA-C
-
Matthew Day I, PA-C
-
Kanisha Desai, DO
-
Hans Christian Fromm, M.D.
-
Nicholas Gaeto, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0968014 | Einstein Internal Medicine Associates | Certificate of waiver | Aug 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000728 | PA | Part B Supplier - Clinic/Group Practice | 2769395896 |
Receives reassigned benefits from 1,396 practitioners 42 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726
1303 W Tabor Rd
Philadelphia, PA 19141
5501 Old York Rd
Ste Cpc
Philadelphia, PA 19141
5501 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-3600
5501 Old York Rd
#363
Philadelphia, PA 19141
Phone (215) 456-6948
5501 Old York Rd
Ste 363
Philadelphia, PA 19141
Phone (215) 456-6948
5501 Old York Rd
#303
Philadelphia, PA 19141
5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220
9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
5401 Old York Rd
Klein BLDG Suite 363
Philadelphia, PA 19141
Mailing address
101 E Olney Ave
Suite 400
Philadelphia, PA 19120
Phone (215) 456-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007706230139 | Medicaid | PA |
Other names
- Einstein Internal Medicine Associates
Other providers in Philadelphia, PA
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan Inc
- Einstein Practice Plan, Inc
All providers in Philadelphia, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.