NPIMap

Organization Active NPI

Albert Einstein Medical Center

  • General Acute Care Hospital
  • Phila, PA
National Provider Identifier
1902805245
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
270601 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
Jul 19, 2005
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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
General Acute Care Hospital 282N00000X 270601 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 6

IdentifierTypeStateIssuer
1007544140080MedicaidPA
1007544140081MedicaidPA
1007544140006MedicaidPA
1007544140069MedicaidPA
1007544140015MedicaidPA
1007544140062MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080529000532 PA Part A Provider - Hospital 3971412297 1 other NPI on this enrollment
Practice locations: Philadelphia, PA
O20160407000670 PA Part A Provider - Hospital 3971412297 1 other NPI on this enrollment
Practice locations: Blue Bell, PA; Plymouth Meeting, PA; Norristown, PA; Lansdale, PA; King of Prussia, PA; Jenkintown, PA; Elkins Park, PA; East Norriton, PA…

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1902805245. Details of each certification follow.

Hospital certification: CCN 390142A

Legal name
ALBERT EINSTEIN MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1952 in PA
Enrollment address
5501 Old York Rd
Philadelphia, PA 19141-3018
Other Hospital Practice Location
Hospital subgroups
General, Other

Hospital certification: CCN 390142C

Legal name
ALBERT EINSTEIN MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1952 in PA
Enrollment address
60 East Township Line Road
Elkins Park, PA 19027-2220
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: rwl216@uoaehn.direct.mctdoc.com
  • Direct secure messaging: zwillens@uoaehn.direct.mctdoc.com

Ownership & related parties

All disclosed owners & managing parties 23

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 OfficerPresident Jul 1, 2020
W-2 Managing EmployeePresident Jul 1, 2020
David M Jaspan Individual Corporate Director Jul 1, 2014
Paul Weiss Individual Corporate Director Jan 1, 2019
Corporate Director Jul 1, 2020
Robert Lipstein Individual Corporate Director Jan 1, 2019
Corporate Director Jul 1, 2020
Eric Raymond Individual Corporate Director Jul 1, 2014
Lawrence Reichlin Individual Corporate Director Jan 1, 2019
Corporate Director Jul 1, 2020
Lewis Gantman Individual Corporate Director Jan 1, 2019
Corporate Director Jul 1, 2020
Jefferson Health Corporation Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest May 23, 2008
Operational/Managerial Control May 23, 2008
5% Or Greater Direct Ownership Interest Jun 30, 2024 100%
Matthew Levitties Individual Corporate Director May 23, 2008
John Korman Individual Corporate Director May 23, 2008
Alberto Esquenazi Individual Corporate Director May 23, 2008
W-2 Managing Employee May 23, 2008
Deborah L Pierce Individual Corporate Director Jul 1, 2020
Jose Melendez Individual Corporate Director May 23, 2008
Patrick J Macmillan Individual Corporate OfficerVP Finance Jun 1, 2026
Gregory H Stein Individual Corporate Director Jul 1, 2014
Ellen Kraftsow-Kogan Individual Corporate Director May 23, 2008
Steven Berk Individual Corporate Director May 23, 2008
Walter Wyatt Individual W-2 Managing Employee May 23, 2008
Madalyn Rovinsky Individual Corporate Director Jul 1, 2020
Carole Ben-Maimon Individual Corporate Director May 23, 2008
Susan Klehr Individual Corporate Director Jul 1, 2014
Robert Lee Thomas Individual Corporate OfficerChief Accounting Officer Jul 1, 2025

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 151

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 151

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1902805245",
    "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": "2005-07-19",
        "last_updated": "2009-08-20",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "270601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140080",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140081",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140069",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544140062",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.