Christopher Azzolino, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Philadelphia, PA
NPI 1871052142 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1871052142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- MD476229 (PA)
- Practice address
- 33 South 9TH Street
Suite 301
Philadelphia, PA 19107 - Phone
- (215) 955-6664
- NPI assigned
- Mar 17, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Drexel University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Einstein Community Health Associates Inc
Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2863
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
605 N Bethlehem Pike
Ambler, PA 19002-2501
Phone (215) 646-9220
Hospital & facility affiliations
- Jefferson Health at Home by Bayada
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Jefferson Abington Hospital
- Jefferson Einstein Montgomery Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230928000600 | PA | Practitioner - Family Practice | 9133454317 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Community Health Associates, Inc | Current |
Accepting new patients | |
| Einstein Community Health Associates, Inc | Current |
Accepting new patients | |
| Jefferson University Physicians | Past |
Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
721 Arbor Way
Ste 105
Blue Bell, PA 19422
Phone (215) 646-9220
605 N Bethlehem Pike
Lower Gwynedd, PA 19002
Phone (215) 643-2119
101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD476229 | PA | Yes |
Addresses
Primary practice location
33 South 9TH Street
Suite 301
Philadelphia, PA 19107
Mailing address
33 S 9TH Street Suite 301
Philadelphia, PA 19107
Phone (215) 955-6664
Other providers in Philadelphia, PA
- Jason Azzara
- Elizabeth Mae Azzato
- Amjad Azzawe
- Yasmine Azzi
- Rachel Azzolina
- B & a Pharmacy Corp
- B & N Home Care LLC
- B & N Home Care LLC
- B & S Home Care LLC
- B & T Healthcare LLC
All providers in Philadelphia, PA · Geriatric Medicine (Family 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 Jun 17, 2022. 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.
- Order and Referring (CMS).
- 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.