NPIMap

Organization Active NPI

Methodist Associates in Healthcare, Inc

Doing business as Jefferson Community Physicians

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1871534826
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE, INC
Doing business as
Jefferson Community Physicians
Practice address
2422 S Broad St
Philadelphia, PA 19145-4418
Phone
(215) 755-5449
NPI assigned
Jun 9, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Andrew Nathans
Title
VP, Finance
Phone
(215) 952-9936

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0001X
Adult Congenital Heart Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0002X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

2422 S Broad St
Philadelphia, PA 19145-4418

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937

Other practice location 1

1317-19 Wolf Street
Philadelphia, PA 19148-2934
Phone (215) 755-5449

Other practice location 2

925 Chestnut Street
Mezzanine
Philadelphia, PA 19107
Phone (215) 955-5050

Other practice location 3

8001 Roosevelt Blvd Ste 403
Philadelphia, PA 19152-3040
Phone (215) 676-8300

Other practice location 4

225 E City Ave Ste 10
Bala Cynwyd, PA 19004-1724
Phone (215) 503-3838

Other identifiers 1

IdentifierTypeStateIssuer
01536515MedicaidPA

Other names 1

  • Jefferson Community Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000835 PA Part B Supplier - Clinic/Group Practice 6406755651 Receives reassigned benefits from 688 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Philadlephia, PA; Pittsburgh, PA; Rydal, PA; Upland, PA; Abington, PA; Bala Cynwyd, PA; Chalfont, PA…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2422 S Broad St
Philadelphia, PA 19145
Phone (215) 612-5161

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1871534826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454418",
            "telephone_number": "215-755-5449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317-19 Wolf Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482934",
            "country_code": "US",
            "telephone_number": "215-755-5449",
            "fax_number": "215-755-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Chestnut Street",
            "address_2": "Mezzanine",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-955-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8001 Roosevelt Blvd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523040",
            "country_code": "US",
            "telephone_number": "215-676-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E City Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041724",
            "country_code": "US",
            "telephone_number": "215-503-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "NATHANS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "215-952-9936"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01536515",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Community Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2022; 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.