THOMAS JEFFERSON UNIVERSITY NPI 1992824312

NPI Information

  • NPI: 1992824312
  • Provider Name: THOMAS JEFFERSON UNIVERSITY
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Other Name: JEFFERSON UNIV-MATER FAMILY CENTER
  • Address: 1233 LOCUST ST
    SUITE 201
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 955-1952

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NPI Details

THOMAS JEFFERSON UNIVERSITY is a methadone clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. THOMAS JEFFERSON UNIVERSITY NPI is 1992824312. The provider is registered as an organization entity type.
The provider Other Name Is Jefferson Univ-mater Family Center.

The provider's business location address is:

1233 LOCUST ST
SUITE 201
PHILADELPHIA, PA
ZIP 19107-453
Phone: (215) 955-1952
Fax: (215) 568-6414

The provider's authorized official is Michelle Calvano .
The authorized official title is Business Manager and has the following contact phone number (215) 955-1952.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 5/23/2024.

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
1261Q00000XClinic/CenterNo
2261QM2800XClinic/CenterMethadoneN8LT6601PENNSYLVANIAYes

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
11007571300103MEDICAIDPENNSYLVANIA

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: 3/30/2025

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