Jefferson Acute Care Physicians, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

JEFFERSON ACUTE CARE PHYSICIANS, PC

Practice address

2603 Easton Rd
Willow Grove, PA 19090-1009

Phone

(215) 481-2173

NPI assigned

Jun 28, 2019

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judd Hollander, MD

Title

Physician / Owner

Phone

(215) 638-0666

Specialties & licenses 1

Addresses

Other names 1

• Jefferson Urgent Care Other name

Tax ID family

Jefferson Acute Care Physicians PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1548722002
  NPD tax ID
• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Bensalem, PA
  • NPI 1689136145
  NPD tax ID

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1952963027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901009",
            "telephone_number": "215-481-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON ACUTE CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "JUDD",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "215-638-0666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Urgent Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jefferson Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Urgent Care Clinic/Center in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.