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THOMAS JEFFERSON UNIVERSITY
NPI 1124195854
Specialist in Philadelphia, PA

Active since November 29, 2006CLIA 39D2064389 · Waiver
111 S 11TH ST, SUITE 4240, PHILADELPHIA, PA 19107(215) 955-8874 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Jefferson University NPPES

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

THOMAS JEFFERSON UNIVERSITY (NPI 1124195854) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Susan Beal, Director, as its authorized official.

NPPES Registry Identity

NPI1124195854
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHOMAS JEFFERSON UNIVERSITY
Location Address111 S 11TH ST, SUITE 4240Philadelphia, PA 19107-4824
Mailing Address125 S 9th St, Suite 801Philadelphia, PA 19107-5125 · (215) 955-9642
Phone(215) 955-8874
Organization SubpartNo
Authorized OfficialSusan BealDirector · (215) 503-1295
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124195854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD053709L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
111 S 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 39D2064389

Thomas Jefferson University Dept Clinical Pharmacology & Experimental Therapeutics · Philadelphia, PA
Active · expires Aug 19, 2027
CLIA Number39D2064389
Laboratory TypeClinical Research
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorDr. Walter K. Kraft MD
Laboratory Phone(215) 955-9077
Laboratory LocationThomas Jefferson University Dept Clinical Pharmacology & Experimental Therapeutics132 S 10th Street 1170 Main Bldg, Philadelphia, PA 19107
CLIA data matches this NPI record on: Name
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.

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

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's NPI number?

The NPI number for Thomas Jefferson University is 1124195854. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Thomas Jefferson University located?

Thomas Jefferson University is located at 111 S 11th St Suite 4240, Philadelphia, PA 19107. The listed phone number is (215) 955-8874.

What is Thomas Jefferson University's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Thomas Jefferson University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2064389) is associated with this NPI, valid through August 19, 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 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.