Organization Active NPI

Math, Science & Technology Comm. Center

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1104048479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MATH, SCIENCE & TECHNOLOGY COMM. CENTER
Practice address
1800 Byberry Rd.
Philadelphia, PA 19116
Phone
(856) 505-1300
Fax
(856) 505-1301
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael C Thomson
Title
Controller
Phone
(856) 505-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

1800 Byberry Rd.
Philadelphia, PA 19116

Mailing address

1800 Byberry Rd.
Philadelphia, PA 19116
Phone (856) 505-1300

Other identifiers 1

IdentifierTypeStateIssuer
1017636410001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1800 Byberry Rd
Philadelphia, PA 19116
Phone (215) 962-4936

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104048479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "856-505-1300",
            "fax_number": "856-505-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "856-505-1300",
            "fax_number": "856-505-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATH, SCIENCE & TECHNOLOGY COMM. CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "856-505-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017636410001",
            "state": "PA"
        }
    ],
    "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 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.