TEMPLE FOX CHASE INTERNAL MEDICINE NPI 1912258476
Internal Medicine in Philadelphia, PA

Organization Internal Medicine CLIA Number 39D0963090 CLIA Certificate of Waiver

About TEMPLE FOX CHASE INTERNAL MEDICINE

Temple Fox Chase Internal Medicine is an internist established in Philadelphia, Pennsylvania specializing in Internal Medicine. The NPI number of Temple Fox Chase Internal Medicine is 1912258476 and was assigned on September 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Temple Fox Chase Internal Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Temple Fox Chase Internal Medicine. The authorized official of this NPI record is Lynnie Savering (Director Of Patient Accounting)

NPI
1912258476
Provider NameTEMPLE FOX CHASE INTERNAL MEDICINE
Provider Location Address7500 CENTRAL AVE SUITE 104 PHILADELPHIA, PA 19111
Provider Mailing AddressPO BOX 820933 PHILADELPHIA, PA 19182
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameTEMPLE FOX CHASE INTERNAL MEDICINE
Other Name TypeOther Name (5)
Enumeration Date09-25-2012
Last Update Date10-29-2020

An internist like Temple Fox Chase Internal Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc..

The CLIA number of Temple Fox Chase Internal Medicine is 39D0963090 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Temple Fox Chase Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA 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.

Business Address

TEMPLE FOX CHASE INTERNAL MEDICINE
7500 CENTRAL AVE
SUITE 104
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 742-0712
Fax: (215) 742-5218

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Mailing Address

TEMPLE FOX CHASE INTERNAL MEDICINE
PO BOX 820933
PHILADELPHIA, PA
ZIP 19182
Phone: (215) 926-9010
Fax: (215) 226-8285


Authorized Official

Authorized Official Name LYNNIE SAVERING
Authorized Official TitleDIRECTOR OF PATIENT ACCOUNTING
Authorized Official Phone(215) 926-9015

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1912258476 is:

CLIA Number39D0963090
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredNo

Taxonomy Description: a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNo

Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CD4829OTHER (01)PATPI RAILROAD MEDICARE GROUP
597586OTHER (01)PATPI GROUP MEDICARE PTAN
100727800OTHER (01)PATPI GROUP MEDICAID GROUP

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912258476
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29224516414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 4 + 5 + 1 + 6 + 4 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1912258476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215931043 JANICE ZINGARETTI HERMAN CRNA
Individual
Nurse Anesthetist, Certified Registered7500 CENTRAL AVE SUITE 208B
PHILADELPHIA, PA 19111
(215) 728-3714
1760489710 MAGDALENE Y HO MD
Individual
Dermatology7500 CENTRAL AVE 109
PHILADELPHIA, PA 19111
(215) 342-1144
1023010865DR. CAREN GEVER KIRSCHNER M.D.
Individual
Pediatrics7500 CENTRAL AVE SUITE 205
PHILA, PA 19111
(215) 728-7711
1689676538DR. GERALD NORMAN ZUBKOFF M.D.
Individual
Pediatrics7500 CENTRAL AVE SUITE 205
PHILADELPHIA, PA 19111
(215) 728-7711
1396737797DR. JEFFREY BATT ETTINGER MD
Individual
Pediatrics7500 CENTRAL AVE STE 205
PHILADELPHIA, PA 19111
(215) 728-7711
1699736470MS. JANE FRANCES COOPER CRNP
Individual
Nurse Practitioner (Acute Care)7500 CENTRAL AVE SUITE 200
PHILADELPHIA, PA 19111
(215) 728-3240
1770525156DR. JAY JAMES STRAIN
Individual
Surgery7500 CENTRAL AVE SUITE 204
PHILADELPHIA, PA 19111
(215) 728-7774
1306880943 TOBY COHEN-TALLY MD
Individual
Specialist7500 CENTRAL AVE SUITE 204
PHILADELPHIA, PA 19111
(215) 728-7774
1215973565 MICHAEL S FAKHRAEE MD
Individual
Plastic Surgery (Surgery of the Hand)7500 CENTRAL AVE SUITE 101
PHILADELPHIA, PA 19111
(215) 728-8200
1871624031MICHAEL S FAKHRAEE MD ASSOCIATES
Organization
Plastic Surgery (Surgery of the Hand)7500 CENTRAL AVE SUITE 101
PHILADELPHIA, PA 19111
(215) 728-8200
1356546006DR. STEPHANIE YING SUI SU KAO MD
Individual
Internal Medicine7500 CENTRAL AVE SUITE 100
PHILADELPHIA, PA 19111
(215) 928-2020
1831325133MRS. ISABELLA EMILIE LEFEBVRE MERCADO PT
Individual
Specialist7500 CENTRAL AVE SUITE 203
PHILADELPHIA, PA 19111
(215) 289-4434
1932455565 JANET M WONG MSN
Individual
Nurse Practitioner (Adult Health)7500 CENTRAL AVE SUITE 208, PHYSICIANS OFFICE BUILDING
PHILADELPHIA, PA 19111
(215) 728-4866
1861434201DR. EDWARD BEDRICK M.D.
Individual
Internal Medicine7500 CENTRAL AVE SUITE 104
PHILADELPHIA, PA 19111
(215) 742-0712
1356355002DR. HOWARD DAVID BRONSTEIN MD
Individual
Internal Medicine7500 CENTRAL AVE
PHILA, PA 19111
(215) 742-0712
1083888127TEMPLE PHYSICIANS INC
Organization
Internal Medicine (Nephrology)7500 CENTRAL AVE SUITE 107
PHILADELPHIA, PA 19111
(215) 214-2973
1912973660 WILLIAM JOHN MARKMANN MD
Individual
Orthopaedic Surgery7500 CENTRAL AVE SUITE 108
PHILADELPHIA, PA 19111
(215) 745-4050
1922046523 TODD ERIC CHERTOW M.D.
Individual
Orthopaedic Surgery7500 CENTRAL AVE SUITE 108
PHILADELPHIA, PA 19111
(215) 745-4050
1134161136 WALTER W DEAROLF III MD
Individual
Orthopaedic Surgery7500 CENTRAL AVE SUITE 108
PHILADELPHIA, PA 19111
(215) 745-4050
1043252042 JOHN LAWTON BEIGHT M.D.
Individual
Orthopaedic Surgery7500 CENTRAL AVE SUITE 108
PHILADELPHIA, PA 19111
(215) 745-4050

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Temple Fox Chase Internal Medicine is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.