Active NPI
Katherine Ying Jenq, MD
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD429519
- Practice address
- 700 Spruce Street
Pine Basement West
Philadelphia, PA 19107-6130 - Phone
- (215) 829-3264
- Fax
- (215) 829-8044
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD429519 | PA | Primary |
Addresses
Primary practice location
700 Spruce Street
Pine Basement West
Philadelphia, PA 19107-6130
Mailing address
700 Spruce St BSMT West
Philadelphia, PA 19106-4022
Phone (215) 829-3264
Other practice location 1
2301 S Broad St Fl 1
Philadelphia, PA 19148-3542
Phone (215) 952-9316
Other practice location 2
1020 Sansom St Ste 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844
Other practice location 3
2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020
Other practice location 4
2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304
Other practice location 5
700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD429519 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients |
Locations
700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
700 Spruce St
Bsmt W
Philadelphia, PA 19106
Phone (215) 829-3264
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
-
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
- NPI 1518355627
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922169069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SPRUCE ST BSMT WEST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064022",
"telephone_number": "215-829-3264",
"fax_number": "215-829-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SPRUCE STREET",
"address_2": "PINE BASEMENT WEST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-3264",
"fax_number": "215-829-8044"
}
],
"practiceLocations": [
{
"address_1": "2301 S Broad St Fl 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191483542",
"country_code": "US",
"telephone_number": "215-952-9316",
"fax_number": "215-952-9138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 Sansom St Ste 239",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075002",
"country_code": "US",
"telephone_number": "215-955-6844",
"fax_number": "215-955-2526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2021 Chestnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191033373",
"country_code": "US",
"telephone_number": "267-443-2020",
"fax_number": "215-640-8860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2607 Rhawn St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191523038",
"country_code": "US",
"telephone_number": "215-333-0304",
"fax_number": "215-333-1402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Walnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191063505",
"country_code": "US",
"telephone_number": "215-503-7300",
"fax_number": "215-503-5666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENQ",
"first_name": "KATHERINE",
"middle_name": "YING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD429519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.