Active NPI
Ronen Elad Stein, M.D.
- Pediatric Gastroenterology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MT203259
- Practice address
- 3401 Civic Center Blvd
Department of Pediatric Gastroenterology
Philadelphia, PA 19104 - Phone
- (215) 590-7801
- Fax
- (215) 590-3606
- NPI assigned
- Jun 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD448463 | PA | |
| Pediatric Gastroenterology Physician | 2080P0206X | MT203259 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3401 Civic Center Blvd
Department of Pediatric Gastroenterology
Philadelphia, PA 19104
Mailing address
3401 Civic Center Blvd
Department of Pediatric Gastroenterology
Philadelphia, PA 19104
Phone (215) 590-7801
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT203259 | PA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Pediatric Gastroenterology | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Pediatrics | Past | Accepting new patients |
| Childrens Health Care Associates, Inc | Past | Accepting new patients | |
| Childrens Hospital of Philadelphia | Past | Accepting new patients |
Locations
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3500 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-2169
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Pediatric Gastroenterology Physician
- Philadelphia, PA
- NPI 1801981857
-
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
- NPI 1417042466
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1063732188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DEPARTMENT OF PEDIATRIC GASTROENTEROLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-7801",
"fax_number": "215-590-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DEPARTMENT OF PEDIATRIC GASTROENTEROLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-7801",
"fax_number": "215-590-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "RONEN",
"middle_name": "ELAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD448463",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "PA",
"license": "MT203259",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.