JEFFERSON UNIVERSITY PHYSICIANS NPI 1376932616

NPI Information

  • NPI: 1376932616
  • Provider Name: JEFFERSON UNIVERSITY PHYSICIANS
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: JEFFERSON COMPREHENSIVE WEIGHT MANAGEMENT PROGRAM
  • CLIA Number: 39D2110422
  • Address: 225 E CITY AVE
    SUITE 109
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (215) 503-3838

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NPI Details

JEFFERSON UNIVERSITY PHYSICIANS is an internal medicine in Bala Cynwyd, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JEFFERSON UNIVERSITY PHYSICIANS NPI is 1376932616. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jefferson Comprehensive Weight Management Program.

The provider's business location address is:

225 E CITY AVE
SUITE 109
BALA CYNWYD, PA
ZIP 19004-704
Phone: (215) 503-3838
Fax: (610) 664-2945

The provider's authorized official is Mitchell Harris .
The authorized official title is Cao, Vp Business Affairs and has the following contact phone number (215) 955-2562.

The CLIA number assigned to this NPI record is 39D2110422 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2015 and was last updated on 1/9/2015.

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
1207R00000XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004931MEDICARE 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: 11/21/2025

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