Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
Medical Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
HRISTOS RISTAS (VP OF PROVIDER NETWORK OPERATIONS)
(215) 955-9298
Entity
Organization
Contact information
Practice address
925 CHESTNUT ST STE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
Mailing address
1100 MARKET ST FL 30, PHILADELPHIA, PA 19107-3601
(215) 955-1175
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0358994000
INDEPENDENCE BLUE CROSS
PA
01
—
0466144
AETNA
PA
01
—
1004298
KEYSTONE MERCY
PA
01
—
1051598
KEYSTONE MERCY
PA
01
—
435778
HIGHMARK BLUE SHIELD
PA
05
—
7616708
—
NJ
Enumeration date
04/18/2008
Last updated
12/13/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up