Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Qiu, MD

Individual provider Anesthesiology Physician · NPI 1720601735

Jack Qiu, MD is an Anesthesiology in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
7
Licensed in
NJ, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 11th St
Philadelphia, PA 19107-4870
Phone: (215) 955-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 — (856) 582-2500

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA12823800 (NJ)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD490765 (PA)

Record details

NPI number1720601735
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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