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INTERNAL MEDICINE- DR PARK
NPI 1093989220
Internal Medicine in Havertown, PA

Active since April 18, 2008
525 W CHESTER PIKE STE 102B, HAVERTOWN, PA 19083(610) 853-9328 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Oct 14, 2022, Dec 13, 2020 (3 updates tracked since 2020).

About Internal Medicine- Dr Park NPPES

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

INTERNAL MEDICINE- DR PARK (NPI 1093989220) is a healthcare organization registered as an internal medicine in Havertown, Pennsylvania and active in the NPI registry since April 2008. The organization lists Dawn Padgett, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1093989220
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJEFFERSON UNIVERSITY PHYSICIANS
Location Address525 W CHESTER PIKE STE 102BHavertown, PA 19083-4539
Mailing AddressPo Box 828937Philadelphia, PA 19182-8937 · (215) 503-1240
Phone(610) 853-9328
Organization SubpartNo
Authorized OfficialDawn PadgettCredentialing Manager · (215) 955-1175
Enumeration DateApril 18, 2008
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1093989220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
525 W CHESTER PIKE STE 102B, Havertown, PA 19083
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Other Names 1

Other NameInternal Medicine- Dr Park

Other Identifiers 3

Other3000370PA · Keystone Mercy
Other595787PA · Aetna
Other0307681005PA · Independence Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jefferson University Physicians's NPI number?

The NPI number for Jefferson University Physicians is 1093989220. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is also known as Internal Medicine- Dr Park.

Where is Jefferson University Physicians located?

Jefferson University Physicians is located at 525 W Chester Pike Ste 102B, Havertown, PA 19083. The listed phone number is (610) 853-9328.

What is Jefferson University Physicians's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jefferson University Physicians was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.