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JEFFERSON HEADACHE CENTER
NPI 1477727873
Clinic/Center in Philadelphia, PA

Active since April 16, 2008CLIA 39D1086523 · Waiver
111 S 11TH ST, SUITE 8130, PHILADELPHIA, PA 19107(215) 955-2243(215) 955-1960 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jefferson Headache Center NPPES

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

JEFFERSON HEADACHE CENTER (NPI 1477727873) is a healthcare organization registered as a clinic/center in Philadelphia, Pennsylvania and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Stephen David Silberstein, Director, as its authorized official.

NPPES Registry Identity

NPI1477727873
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJEFFERSON HEADACHE CENTER
Location Address111 S 11TH ST, SUITE 8130Philadelphia, PA 19107-4824
Mailing Address111 S 11th St, Suite 8130Philadelphia, PA 19107-4824 · (215) 955-2243 · Fax (215) 955-1960
Phone(215) 955-2243
Fax(215) 955-1960
Organization SubpartNo
Authorized OfficialStephen David SilbersteinDirector · (215) 955-2243
Enumeration DateApril 16, 2008
✔ NPI 1477727873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in PA · SP006364C
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
111 S 11TH ST, Philadelphia, PA 19107
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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 39D1086523

Jefferson Headache Center · Philadelphia, PA
Active · expires Jul 14, 2028
CLIA Number39D1086523
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorMichael J. Marmura
Laboratory Phone(215) 955-2243
Laboratory LocationJefferson Headache Center909 Walnut St Suite 200, 2nd Fl, Philadelphia, PA 19107
CLIA data matches this NPI record on: 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.

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 Jefferson Headache Center's NPI number?

The NPI number for Jefferson Headache Center is 1477727873. It was assigned to this organization in the NPPES registry on April 16, 2008.

Where is Jefferson Headache Center located?

Jefferson Headache Center is located at 111 S 11th St Suite 8130, Philadelphia, PA 19107. The listed phone number is (215) 955-2243.

What is Jefferson Headache Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Jefferson Headache Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1086523) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson Headache Center was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.