Active NPI
Laura A Vella, M.D., PH.D.
- Pediatric Infectious Diseases Physician
- Philadelphia, PA
National Provider Identifier
1124339064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- MD450051
- Practice address
- 3401 Civic Center Blvd
Philadelphia, PA 19104 - Phone
- (215) 590-1000
- Fax
- (215) 590-2025
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | MD450051 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Philadelphia, PA 19104
Mailing address
100 E Penn SQ FL 9
Philadelphia, PA 19107-3377
Phone (267) 425-9200
Other practice location 1
5841 S Maryland Ave
MC 8016
Chicago, IL 60637-1447
Phone (773) 702-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032444970001 | Medicaid | PA |
Other names 1
- Laura Vella-Geynisman
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD450051 | PA | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Pediatric Infectious Diseases | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
Organizations & group practices 4
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 Infectious Diseases Physician
- Philadelphia, PA
- NPI 1508951559
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1124339064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ FL 9",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073377",
"telephone_number": "267-425-9200",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1000",
"fax_number": "215-590-2025"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave",
"address_2": "MC 8016",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371447",
"country_code": "US",
"telephone_number": "773-702-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELLA",
"first_name": "LAURA",
"middle_name": "A",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "PA",
"license": "MD450051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032444970001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "VELLA-GEYNISMAN",
"credential": "M.D., PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.