NPIMap

Organization Active NPI

Graduate Hospital Dept. of Medicine Education & Research Foundation

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1891733283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRADUATE HOSPITAL DEPT. OF MEDICINE EDUCATION & RESEARCH FOUNDATION
Practice address
2136 W Passyunk Ave
Philadelphia, PA 19145-3415
Phone
(215) 271-0101
Fax
(215) 334-7259
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher O. Setzler, MBA
Title
Administrator
Phone
(215) 893-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2136 W Passyunk Ave
Philadelphia, PA 19145-3415

Mailing address

2136 W Passyunk Ave
Philadelphia, PA 19145-3415
Phone (215) 271-0101

Other names 1

  • John J. Wasniewski, Jr. D.O. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Graduate Hospital Dept of Medicine Education Research Foundation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891733283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453415",
            "telephone_number": "215-271-0101",
            "fax_number": "215-334-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453415",
            "telephone_number": "215-271-0101",
            "fax_number": "215-334-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADUATE HOSPITAL DEPT. OF MEDICINE EDUCATION & RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SETZLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-893-7127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John J. Wasniewski, Jr. D.O.",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.