OrganizationActive
University of Penn-Medical Group
NPI 1245628353 · Reproductive Endocrinology Physician · Philadelphia, PA
Provider details
- NPI number
- 1245628353
- Entity type
- Organization
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chante Jackson, Enrollment Lead(215) 662-6187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Ambulatory Fertility Facility261QA0006X
Ambulatory Health Care Facilities
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3701 Market St
8th Floor
Philadelphia, PA 19104-5502
Phone: (215) 662-6100
Street-level locationGet directions
Mailing address
3701 Market St
Philadelphia, PA 19104-5502
Registry dates
- Enumerated
- 2014-12-26
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.