NPIMap

Organization Active NPI

Albert Einstein Medical Center

Doing business as Willowcrest

  • Skilled Nursing Facility
  • Phila, PA
National Provider Identifier
1871592816
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
232002 Issued in PA
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
Willowcrest
Practice address
5501 Old York Rd
Phila, PA 19141-3018
Phone
(215) 456-6611
Fax
(215) 457-4304
NPI assigned
Jul 20, 2005
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Mr. Samuel Russo
Title
Corp. Director of Finance
Phone
(215) 456-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 232002 PA Primary

Addresses

Primary practice location

5501 Old York Rd
Phila, PA 19141-3018

Mailing address

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-6611

Other identifiers 1

IdentifierTypeStateIssuer
1007544140074MedicaidPA

Other names 1

  • Willowcrest Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000071 PA Part A Provider - Skilled Nursing Facility 3971412297 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871592816. Details of each certification follow.

Skilled nursing facility certification: CCN 395515

Legal name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
WILLOWCREST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 21, 1981
Last certification
Jan 30, 2025
Beds
44
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1952 in PA
Enrollment address
5501 Old York Road
Philadelphia, PA 19141-3018
Nursing home name
WILLOWCREST

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
WillowcrestCCN 395515 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 21, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4435.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Arthritis Ctr Aemc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Jefferson University Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2021 100%
Dixieanne James Individual Corporate Officer Jul 1, 2020
W-2 Managing Employee Jul 1, 2020
David M Jaspan Individual Corporate Director Jul 1, 2016
Paul Weiss Individual Corporate Director Jul 1, 2020
Robert Lipstein Individual Corporate Director Jul 1, 2020
Eric Raymond Individual Corporate Director Jul 1, 2011
Lawrence Reichlin Individual Corporate Director Jul 1, 2016
Lewis Gantman Individual Corporate Director Jul 1, 2016
Jefferson Health Corporation Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest Mar 8, 1984
Matthew Levitties Individual Corporate Director Jul 1, 2011
John Korman Individual Corporate Director Jul 1, 2011
Alberto Esquenazi Individual Corporate Director Jul 1, 2011
Deborah L Pierce Individual Corporate Director Jul 1, 2020
Jose Melendez Individual Corporate Director Jul 1, 2011
Gregory H Stein Individual Corporate Director Jul 1, 2016
Ellen Kraftsow-Kogan Individual Corporate Director Jul 1, 2011
Steven Berk Individual Corporate Officer Jul 1, 2011
US Bank National Association Organization, Philadelphia, PA Financial institution 5% Or Greater Security Interest Jun 18, 2009
Walter Wyatt Individual Corporate Officer Jul 1, 2011
W-2 Managing Employee Jul 1, 2011
Madalyn Rovinsky Individual Corporate Director Jul 1, 2020
Carole Ben-Maimon Individual Corporate Director Jul 1, 2020
Susan Klehr Individual Corporate Director Jul 1, 2011

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1871592816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6611",
            "fax_number": "215-457-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6611",
            "fax_number": "215-457-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CORP. DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "215-456-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "232002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140074",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.