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Contact Information

JEFFERSON UNIVERSITY PHYSICIANS
1100 MARKET ST FL 30
PHILADELPHIA, PA19107-3601
 Phone: 215-955-8420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFERSON UNIVERSITY PHYSICIANS

NPI # 1811161052
LBN Legal business name JEFFERSON UNIVERSITY PHYSICIANS
Authorized official HRISTOS ROSTAS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2008
Last updated 02/23/2021 - About 5 years ago
Identifiers
NJ Medicaid 7429703
PA Other 487422 AETNA
PA Other 0519838000 AMERIHEALTH
PA Other 421108 HIGHMARK BLUE SHIELD
PA Other 0336179000 INDEPENDENCE BLUE CROSS
PA Other 1005220 KEYSTONE MERCY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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