Individual provider Active NPI

Jennifer Elizabeth Tingo, M.D.

  • Pediatric Cardiology Physician
  • Philadelphia, PA
National Provider Identifier
1013175249
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD436431 Issued in PA
Practice address
3601 A St
SCHC Pediatric Associates, LLC
Philadelphia, PA 19134-1043
Phone
(215) 427-5000
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD439642 PA
Pediatric Cardiology Physician 2080P0202X MD436431 PA Primary

Addresses

Primary practice location

3601 A St
SCHC Pediatric Associates, LLC
Philadelphia, PA 19134-1043

Mailing address

530 W 236TH St
Apt 1M
Bronx, NY 10463-1748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110728000381 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0345418844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Eastern Virginia Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Health Care Associates IncGroup PAC ID 1355253527, 211 clinicians

Practice addresses (Care Compare)

3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD436431PAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Childen'S Health Care Associates Inc. CurrentSince Oct 27, 2019 Accepting new patients
Einstein Practice Plan Inc Pediatrics CurrentSince Mar 4, 2017 Accepting new patients
Childrens Health Care Associates, Inc Pediatric Cardiology CurrentSince Oct 27, 2019 Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Mar 4, 2017 Accepting new patients
Childrens Health Care Associates of New Jersey PC Pediatrics Past Accepting new patients

Locations

500 W Butler Ave
Chalfont, PA 18914
Phone (215) 997-5730

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

5501 Old York Rd
Ste 2
Philadelphia, PA 19141
Phone (215) 456-7130

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1013175249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W 236TH ST",
            "address_2": "APT 1M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 A ST",
            "address_2": "SCHC PEDIATRIC ASSOCIATES, LLC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341043",
            "telephone_number": "215-427-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGO",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD439642",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD436431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.