Active NPI
Cheryl L Davis, M.D.
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1194731083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD073159L
- Practice address
- 5501 Old York Rd
Paley 1321
Philadelphia, PA 19141-3018 - Phone
- (215) 456-8324
- Fax
- (215) 456-3436
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA07087200 | NJ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD073159L | PA | Primary |
Addresses
Primary practice location
5501 Old York Rd
Paley 1321
Philadelphia, PA 19141-3018
Mailing address
201 Merion Ave
Haddonfield, NJ 08033-1412
Phone (856) 216-7446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8745901 | Medicaid | NJ | |
| 0018822470008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07087200 | NJ | MD | Neonatal-Perinatal Medicine Physician |
| MD073159L | PA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1194731083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MERION AVE",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331412",
"telephone_number": "856-216-7446",
"fax_number": "856-216-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"address_2": "PALEY 1321",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-8324",
"fax_number": "215-456-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA07087200",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD073159L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8745901",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018822470008",
"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 Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.