Organization Active NPI

Shriners Hospitals for Children - Philadelphia

  • Special Hospital
  • Philadelphia, PA
National Provider Identifier
1124395017
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
PT013200L Issued in PA
Legal business name
SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA
Practice address
3551 N Broad St
Philadelphia, PA 19140-4160
Phone
(215) 430-4160
Fax
(215) 430-4123
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Ernest Perilli
Title
Administrator
Phone
(813) 281-8478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X PT013200L PA Primary

Addresses

Primary practice location

3551 N Broad St
Philadelphia, PA 19140-4160

Mailing address

Shriners Hospitals for Children Philadelphia
Lockbox # 7642, P.O. Box 8500
Philadelphia, PA 19178-0001

National Provider Directory

National Provider Directory
Tax ID family
Shriners Hospitals for Children - Philadelphia49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1124395017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHRINERS HOSPITALS FOR CHILDREN PHILADELPHIA",
            "address_2": "LOCKBOX # 7642, P.O. BOX 8500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404160",
            "telephone_number": "215-430-4160",
            "fax_number": "215-430-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "PERILLI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-281-8478"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "PA",
            "license": "PT013200L",
            "primary": true
        }
    ],
    "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 Nov 21, 2011; 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.