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JEFFERSON UNIVERSITY PHYSICIANS NPI 1578737797


NPI Information

NPI: 1578737797
Provider Name: JEFFERSON UNIVERSITY PHYSICIANS

Other Name: DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 39D0998457

Address:
833 CHESTNUT ST
SUITE 630
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-0800
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JEFFERSON UNIVERSITY PHYSICIANS is a dermatology in Philadelphia, PA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. JEFFERSON UNIVERSITY PHYSICIANS NPI is 1578737797. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dermatology.

The provider's business location address is:

833 CHESTNUT ST
SUITE 630
PHILADELPHIA, PA
ZIP 19107-414
Phone: (215) 955-0800

The provider's authorized official is John Ogunkeye .
The authorized official title is Executive Director and has the following contact phone number (215) 955-2562.

The CLIA number assigned to this NPI record is 39D0998457 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/24/2008.


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
1207N00000XDermatologyYes

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
17583401MEDICAIDNEW JERSEY
20542997000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
3263061OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
430629OTHERPENNSYLVANIAKEYSTONE MERCY
553183OTHERPENNSYLVANIAAETNA

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

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