PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB
NPI 1033259627
Substance Abuse Rehabilitation Facility in Phila, PA
NPI Status: Active since February 06, 2007
Contact Information
51 N 39TH ST
PHILA, PA
ZIP 19104
Phone: (215) 796-4640
Fax: (609) 770-7792
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 39D0666954
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB
This page provides the complete NPI Profile along with additional information for Penn Presbyterian Medical Ctr Detox Rehab, a provider established in Phila, Pennsylvania operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1033259627 assigned on February 2007. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Thomas Mccormick (Assistant Vice President Finance)
- NPI
- 1033259627
- Provider Name
- PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB
- Entity Type
- Organization
- Location Address
- 51 N 39TH ST PHILA, PA 19104
- Location Phone
- (215) 796-4640
- Location Fax
- (609) 770-7792
- Mailing Address
- 1500 MARKET ST UM600 PHILA, PA 19102
- Mailing Phone
- (215) 796-4640
- Mailing Fax
- (609) 770-7792
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 03-30-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007297070001 | MEDICAID (05) | PA |
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 this NPI number is:
- CLIA Number
- 39D0666954
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. ANNA M. MORAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Penn Presbyterian Medical Ctr Detox Rehab on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 0 | 3 | 3 | 2 | 5 | 9 | 6 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 4 | 5 | 18 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 4 + 5 + 1 + 8 + 6 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1033259627 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1679570733 | DR. TANYA M DOUGHERTY BS, PHARMD, BCPS Individual | Pharmacist (Pharmacotherapy) | 51 N 39TH ST 6TH FLOOR MUTCH BUILDING PHILADELPHIA, PA 19104 (215) 662-8933 |
| 1134112931 | DR. MICHAEL SILVERMAN M.D. Individual | Internal Medicine (Infectious Disease) | 51 N 39TH ST M.O.B. SUITE 305 PHILADELPHIA, PA 19104 (215) 662-8356 |
| 1982685830 | DR. JOSEPH BERNSTEIN MD Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 51 N 39TH ST PRESBYTERIAN MEDICAL CENTER PHILADELPHIA, PA 19104 (215) 662-3340 |
| 1649211400 | VALENTIN ILIVITSKY MD Individual | Anesthesiology | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-8000 |
| 1710920251 | VINCENT PETER SEKELA CRNA Individual | Nurse Anesthetist, Certified Registered | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-8244 |
| 1558306571 | WENDY P KLEIN MD Individual | Radiology (Diagnostic Radiology) | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-7293 |
| 1548206279 | ELAINE REED MD Individual | Family Medicine | 51 N 39TH ST 7TH FLOOR MUTCH BLDG PHILADELPHIA, PA 19104 (215) 662-8777 |
| 1801832001 | JOHN GENNARIA CRNA Individual | Nurse Anesthetist, Certified Registered | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-8000 |
| 1922034628 | CHARLES A DACKIS MD Individual | Psychiatry & Neurology (Psychiatry) | 51 N 39TH ST DEPARTMENT OF PSYCHIATRY PHILADELPHIA, PA 19104 (215) 662-8752 |
| 1154357853 | VINCENT LORE III MD Individual | Internal Medicine (Infectious Disease) | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-9990 |
| 1396773438 | RICHARD A NEILL MD Individual | Family Medicine | 51 N 39TH ST 6TH FLOOR PHILADELPHIA, PA 19104 (215) 662-8949 |
| 1730110412 | JACK ENDE MD Individual | Internal Medicine | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-9990 |
| 1891725511 | WILLAM RICHET NEUMAN MD Individual | Internal Medicine | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-9990 |
| 1013949668 | GIRIDHAR MALLYA MD Individual | Family Medicine | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-8777 |
| 1447281399 | PAUL CHRISTOPHER MCGOVERN MD Individual | Internal Medicine (Infectious Disease) | 51 N 39TH ST 3910 BUILDING, 2ND FLOOR PHILADELPHIA, PA 19104 (215) 662-9990 |
| 1881626174 | ROBERT KEITH CATO MD Individual | Internal Medicine | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-9990 |
| 1699707711 | RAPHAEL M COHEN MD Individual | Internal Medicine (Nephrology) | 51 N 39TH ST 240 MOB BUILDING PHILADELPHIA, PA 19104 (215) 662-8730 |
| 1447284856 | JAMES W SHEPARD MD Individual | Internal Medicine | 51 N 39TH ST MEDICAL ARTS BUILDING, SUITE 212 PHILADELPHIA, PA 19104 (215) 662-8978 |
| 1225063027 | KATHERINE L MARGO MD Individual | Family Medicine | 51 N 39TH ST MUTCH BUILDING, 7TH FLOOR PHILADELPHIA, PA 19104 (215) 662-8777 |
| 1770518052 | BRENDA B HOFFMAN MD Individual | Internal Medicine (Nephrology) | 51 N 39TH ST PHILADELPHIA, PA 19104 (215) 662-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033259627, enumerated in the NPI registry as an "organization" on February 06, 2007
The provider is located at 51 N 39th St Phila, Pa 19104 and the phone number is (215) 796-4640
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 39D0666954 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.