THOMAS JEFFERSON UNIVERSITY HOSPITAL NPI 1255409405

NPI Information

NPI: 1255409405
Provider Name: THOMAS JEFFERSON UNIVERSITY HOSPITAL
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
111 S 11TH ST
2210 GIBBON BUILDING
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-7106
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THOMAS JEFFERSON UNIVERSITY HOSPITAL is an ambulatory surgical clinic center in Philadelphia, PA. THOMAS JEFFERSON UNIVERSITY HOSPITAL NPI is 1255409405. The provider is registered as an organization entity type.

The provider's business location address is:

111 S 11TH ST
2210 GIBBON BUILDING
PHILADELPHIA, PA
ZIP 19107-824
Phone: (215) 955-7106
Fax: (215) 955-8732

The provider's authorized official is Neil Lubarsky .
The authorized official title is Senior Vice President and has the following contact phone number (215) 955-9895.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	200801	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007571300057	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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