OrganizationActive
Drexel University
NPI 1104921576 · Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1104921576
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Janiec, Director of Payer Contracting(215) 255-7766
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
- Colon & Rectal Surgery Physician208C00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
219 N Broad St
8th Floor
Philadelphia, PA 19107-1519
Phone: (215) 762-1545
Fax: (215) 563-5514
Street-level locationGet directions
Mailing address
1601 Cherry St
Philadelphia, PA 19102-1321
Other names (DBA / former)
- Doing business as
- Drexel Surgery
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2014-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.