Temple Faculty Practice Plan, Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

TEMPLE FACULTY PRACTICE PLAN, INC

Doing business as

Temple Faculty Rheumatology Associates

Practice address

3401 N Broad St
Philadelphia, PA 19140-5103

Phone

(215) 707-4600

Fax

(215) 707-4034

NPI assigned

Sep 12, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya Woodard

Title

Director Revenue Cycle

Phone

(215) 707-3911

Specialties & licenses 1

Addresses

Other names 1

• Temple Faculty Rheumatology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 27

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.

• Manju Ambelil, M.D.

  • Anatomic Pathology Physician
  • Philadelphia, PA
  • NPI 1427478205
  NPD
• Marissa A Blum, MD

  • Rheumatology Physician
  • Philadelphia, PA
  • NPI 1316080229
  NPD
• Janhavee Deshpande, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1538739149
  NPD
• Martin Dominguez, M.D., PH.D.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1861734188
  NPD
• Samuel J Ivan, MD

  • Urology Physician
  • Philadelphia, PA
  • NPI 1902366222
  NPD
• Renee Kendzierski, DO

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1952399883
  NPD
• Alison Nicole Kourlesis, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1922675065
  NPD
• Samuel Krachman, DO

  • Pulmonary Disease Physician
  • Philadelphia, PA
  • NPI 1093703043
  NPD
• Elizabeth Ann Mannarelli, DO

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1215213418
  NPD
• Alan H Maurer, MD

  • Nuclear Radiology Physician
  • Philadelphia, PA
  • NPI 1689662876
  NPD
• Gabriela Narowska, DO

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1528638814
  NPD
• Daphney Noel, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
  • NPI 1396315230
  NPD

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1811470271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-4600",
            "fax_number": "215-707-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-4600",
            "fax_number": "215-707-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343314",
            "country_code": "US",
            "telephone_number": "267-468-0900",
            "fax_number": "267-468-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEMPLE FACULTY PRACTICE PLAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "215-707-3911"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Faculty Rheumatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temple Faculty Practice Plan, Inc (Temple Faculty Critical Care Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Radiology Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Neonatology Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Oral Pathology Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Family Planning)
• Temple Faculty Practice Plan, Inc (Temple Faculty Plastic Surgery Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Urogynecology Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Speech Therapy Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Neurosurgical Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty OB/GYN Associates)

• Rheumatology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.