Active NPI
Edward R. Jones, M.D.
- Nephrology Physician
- Philadelphia, PA
National Provider Identifier
1821071473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD017216E
- Practice address
- 10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3541 - Phone
- (267) 385-5538
- Fax
- (267) 437-3176
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD017216E | PA | Primary |
Addresses
Primary practice location
10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3541
Mailing address
10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3541
Phone (267) 385-5538
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074368805 | Other | PA | AMERICHOICE |
| 0054039000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 50039 | Other | PA | AETNA |
| 12945MD017216E | Other | PA | HEALTH PARTNERS |
| CA1374 | Other | PA | RAILROAD MEDICARE |
| 0007436880003 | Medicaid | PA | |
| 1017003 | Other | PA | KEYSTONE MERCY |
| 0054039000 | Other | PA | PERSONAL CHOICE |
| 072490 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1821071473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E MORELAND AVE",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183541",
"telephone_number": "267-385-5538",
"fax_number": "267-437-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E MORELAND AVE",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183541",
"telephone_number": "267-385-5538",
"fax_number": "267-437-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "EDWARD",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD017216E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0074368805",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0054039000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "50039",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "12945MD017216E",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA1374",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007436880003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1017003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0054039000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "072490",
"state": "PA"
}
],
"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 Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.