Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TEMPLE FACULTY PRACTICE PLAN INC
NPI 1235611179
Preventive Medicine - Addiction Medicine in Philadelphia, PA

Active since September 06, 2018
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1622(215) 707-0943 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 23, 2026, May 29, 2025, Sep 6, 2018 (3 updates tracked since 2018).

About Temple Faculty Practice Plan Inc NPPES

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

TEMPLE FACULTY PRACTICE PLAN INC (NPI 1235611179), doing business as Temple Faculty Mic Associates, is a healthcare organization registered as an addiction medicine in Philadelphia, Pennsylvania and active in the NPI registry since September 2018. The organization maintains 5 additional practice locations and lists Tonya Woodard, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1235611179
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameTEMPLE FACULTY PRACTICE PLAN INC
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-1622 · Fax (215) 707-0943
Fax(215) 707-0943
Organization SubpartNo
Authorized OfficialTonya WoodardDirector Revenue Cycle · (215) 707-3911
Enumeration DateSeptember 6, 2018
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1235611179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedPreventive Medicine · Medical ToxicologyTaxonomy 2083T0002X
Also ListedHospitalistTaxonomy 208M00000X
3401 N BROAD ST, Philadelphia, PA 19140

Other Names 1

Doing Business AsTemple Faculty Mic Associates

Secondary Practice Locations 5

Location 18835 Germantown AvePhiladelphia, PA 19118-2718 · Phone (215) 248-8200 · Fax (215) 753-2072
Location 23322 N Broad StPhiladelphia, PA 19140-5185 · Phone (215) 707-1622 · Fax (215) 707-0943
Location 31331 E Wyoming AvePhiladelphia, PA 19124-3808 · Phone (215) 707-1622 · Fax (215) 707-0943
Location 4333 Cottman AvePhiladelphia, PA 19111-2434 · Phone (217) 282-8444 · Fax (215) 214-1425
Location 5100 E Lehigh AvePhiladelphia, PA 19125-1012 · Phone (215) 707-1622 · Fax (215) 707-0943

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

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Temple Faculty Practice Plan Inc's NPI number?

The NPI number for Temple Faculty Practice Plan Inc is 1235611179. It was assigned to this organization in the NPPES registry on September 6, 2018. The provider is doing business as Temple Faculty MIC Associates.

Where is Temple Faculty Practice Plan Inc located?

Temple Faculty Practice Plan Inc is located at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-1622.

What is Temple Faculty Practice Plan Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Temple Faculty Practice Plan Inc was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.