NPIMap

Organization Active NPI

Albert Einstein Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Phila, PA
National Provider Identifier
1881798320
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
27601 Issued in PA
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Practice address
5501 Old York Rd
Phila, PA 19141-3018
Phone
(215) 456-6611
Fax
(215) 457-4304
NPI assigned
Sep 12, 2006
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBERT EINSTEIN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 27601 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526000831 PA Part A Provider - End-Stage Renal Disease Facility (ESRD) 3971412297 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881798320. Details of each certification follow.

  • CCN 392338 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 392338

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ALBERT EINSTEIN MEDICAL CENTER ESRD
Certification status
Active
Provider type (POS)
End-stage renal disease facility
Participating since
Sep 1, 1977
Last certification
Oct 1, 2021
Ownership / control type
For Profit
Facility address
5501 Old York Road
Philadelphia, PA 19141

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Part of
Arthritis Ctr Aemc

Locations

721 Skippack Pike
Blue Bell, PA 19422
Phone (215) 247-2292

100 Market St
Collegeville, PA 19426
Phone (484) 622-6400

50 Township Line Rd
Ste G1
Elkins Park, PA 19027
Phone (215) 572-5200

201 Old York Rd
Ste 100
Jenkintown, PA 19046
Phone (215) 884-9050

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

170 W Germantown Pike
Norristown, PA 19401
Phone (215) 605-3634

10100 Jamison Ave
Philadelphia, PA 19116
Phone (215) 698-7300

12 S 23rd St
Philadelphia, PA 19103
Phone (215) 496-2662

2400 Market St
Philadelphia, PA 19103
Phone (215) 523-7600

5753 Wayne Ave
Philadelphia, PA 19144
Phone (215) 848-8800

7198 Castor Ave
Philadelphia, PA 19149
Phone (215) 385-5031

7612 Dungan Rd
Philadelphia, PA 19111
Phone (215) 745-5093

9880 Bustleton Ave
#One
Philadelphia, PA 19115
Phone (215) 673-9729

9892 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 464-4111

Practitioners & affiliated clinicians

Practitioners 16

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 16

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1881798320",
    "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": "YES",
        "parent_organization_legal_business_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-06-06",
        "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": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PA",
            "license": "27601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.