Independence Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

INDEPENDENCE CHARTER SCHOOL

Practice address

105 S 7TH St
Philadelphia, PA 19106-3324

Phone

(215) 238-8000

Fax

(215) 238-1998

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jurate Krokys, M.ED.

Title

Principal/Ceo

Phone

(215) 238-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033168026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S 7TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063324",
            "telephone_number": "215-238-8000",
            "fax_number": "215-238-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 7TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063324",
            "telephone_number": "215-238-8000",
            "fax_number": "215-238-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROKYS",
        "authorized_official_first_name": "JURATE",
        "authorized_official_title_or_position": "PRINCIPAL/CEO",
        "authorized_official_telephone_number": "215-238-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018675360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason A Incorvati, MD
• Giana Indelicato, CRNP
• Susan Wenick Inden, M.A.
• Indepedence Medical Associates P.C.
• Independence Care of Philadelphia, LLC.
• Independence Dental PC
• Independence Homecare Partners LLC
• Independence Imaging, LLC
• Independence Learning Centers for Autism
• Independence Prosthetics-Orthotics, Inc.

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.