Jup Ancillary Providers

LBN: Jefferson University Physicians
Jup Ancillary Providers is an health care organization with primary practice located at 615 Chestnut St 14Th Floor, Philadelphia PA 19106-4495. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Jefferson University Physicians can be contacted via phone (215) 955-9655, or through Ogunkeye, John via phone (215) 955-2562.

Contact Information

Primary practice address
615 Chestnut St 14Th Floor Philadelphia PA 19106-4495
Phone: (215) 955-9655
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ogunkeye, John
Phone: (215) 955-2562

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Pennsylvania

Profile Details

NPI number 1437425360
LBN Legal business name Jefferson University Physicians
DBA Doing business as Jup Ancillary Providers
Authorized official Ogunkeye, John
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2012
Last updated Mar 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437425360 NPPES
Pennsylvania MEDICAID 1007729870101

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