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JEFFERSON MEDICAL CARE PC NPI 1164511747


NPI Information

NPI: 1164511747
Provider Name: JEFFERSON MEDICAL CARE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
211 S 9TH ST
SUITE 305
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-9558
Get Directions

JEFFERSON MEDICAL CARE, PC is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JEFFERSON MEDICAL CARE, PC NPI is 1164511747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 S 9TH ST
SUITE 305
PHILADELPHIA, PA
ZIP 19107-810
Phone: (215) 955-9558
Fax: (215) 955-3920

The provider's authorized official is Jay Sial .
The authorized official title is Vice President and has the following contact phone number (215) 955-9557.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207QA0401XFamily MedicineAddiction MedicineNo
3207QA0505XFamily MedicineAdult MedicineNo
4207QG0300XFamily MedicineGeriatric MedicineNo
51223S0112XDentistOral and Maxillofacial SurgeryNo
6122300000XDentistNo
7207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10016886700001MEDICAIDPENNSYLVANIA
2904493MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.