Organization Active NPI

Russell Byers Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1114015740
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
RUSSELL BYERS CHARTER SCHOOL
Practice address
1191 Arch St
Philadelphia, PA 19103-1403
Phone
(215) 972-1700
Fax
(215) 972-1701
NPI assigned
Oct 10, 2006
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. Gerald L Santilli
Title
Business Manager
Phone
(856) 505-1300

Specialties & licenses 1

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

Addresses

Primary practice location

1191 Arch St
Philadelphia, PA 19103-1403

Mailing address

1191 Arch St
Philadelphia, PA 19103-1403
Phone (215) 972-1700

Other identifiers 1

IdentifierTypeStateIssuer
1012706670001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114015740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 ARCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031403",
            "telephone_number": "215-972-1700",
            "fax_number": "215-972-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 ARCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031403",
            "telephone_number": "215-972-1700",
            "fax_number": "215-972-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL BYERS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "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": "1012706670001",
            "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.