Drexel University

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

17271501 Issued in PA

Legal business name

DREXEL UNIVERSITY

Practice address

219 N Broad St
5TH Floor
Philadelphia, PA 19107-1519

Phone

(215) 762-6220

Fax

(215) 762-5034

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

David Janiec

Title

Director of Payer Contracting

Phone

(215) 255-7766

Specialties & licenses 1

Addresses

Other names 1

• Drexel Center Digestive Health-ASC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Drexel University

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
  • NPI 1215039524

  Member Of

  NPD member

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1962565242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "215-762-6220",
            "fax_number": "215-762-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "JANIEC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CONTRACTING",
        "authorized_official_telephone_number": "215-255-7766"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "17271501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drexel Center Digestive Health-ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drexel University
• Drexel University
• Drexel University
• Drexel University
• Drexel University
• Drexel University
• Drexel University College of Medicine
• Kristin Michelle Drexel, RN, MSN, CCRN, APRN
• Robert Michael Dreyfus, M.D.
• Arnon I Dreyfuss, MD

• Ambulatory Surgical Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.