THOMAS JEFFERSON UNIVERSITY HOSPITAL
NPI 1033520424
Clinic/Center - Dental in Philadelphia, PA

Active since May 19, 2014CLIA 39D1067035 · Waiver
909 WALNUT ST, PHILADELPHIA, PA 19107(215) 955-6215 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Jefferson University Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS JEFFERSON UNIVERSITY HOSPITAL (NPI 1033520424) is a healthcare organization registered as a dental in Philadelphia, Pennsylvania and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Robert Diecidue, Chair Of The Dept. Of Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1033520424
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHOMAS JEFFERSON UNIVERSITY HOSPITAL
Location Address909 WALNUT STPhiladelphia, PA 19107-5211
Mailing Address5 Stratford DrRandolph, NJ 07869-2036
Organization SubpartNo
Authorized OfficialRobert DiecidueChair Of The Dept. Of Oral Surgeon · (215) 955-6215
Enumeration DateMay 19, 2014
NPI 1033520424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
909 WALNUT ST, Philadelphia, PA 19107

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1067035

Thomas Jefferson University Hospital Oral Maxillofacial Surgery · Philadelphia, PA
Active · expires Apr 9, 2027
CLIA Number39D1067035
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorDaniel Taub MD Dds
Laboratory Phone(215) 955-6215
Laboratory LocationThomas Jefferson University Hospital Oral Maxillofacial Surgery909 Walnut Street, Philadelphia, PA 19107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
909 WALNUT ST
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
909 WALNUT ST
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
909 WALNUT ST
PHILADELPHIA, PA 19107
Neurological Surgery
909 WALNUT ST, 3RD FLOOR, NEUROSURGERY
PHILADELPHIA, PA 19107
Internal Medicine (Medical Oncology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Nurse Practitioner (Family)
909 WALNUT ST
PHILADELPHIA, PA 19107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Jefferson University Hospital's NPI number?

The NPI number for Thomas Jefferson University Hospital is 1033520424. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Thomas Jefferson University Hospital located?

Thomas Jefferson University Hospital is located at 909 Walnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-6215.

What is Thomas Jefferson University Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Thomas Jefferson University Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1067035) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thomas Jefferson University Hospital was last updated on May 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.