Active NPI
Jonathan David Heiliczer, M.D.
- Pediatric Nephrology Physician
- Philadelphia, PA
National Provider Identifier
1265480248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- MD426008
- Practice address
- St. Christopher'S Hospital for Children
Erie Avenue at Front Street
Philadelphia, PA 19134-1095 - Phone
- (215) 427-5190
- Fax
- (215) 427-5351
- NPI assigned
- May 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | MD426008 | PA | Primary |
| Pediatric Nephrology Physician | 2080P0210X | 25MA03488100 | NJ |
Addresses
Primary practice location
St. Christopher'S Hospital for Children
Erie Avenue at Front Street
Philadelphia, PA 19134-1095
Mailing address
St. Christopher'S Hospital for Children
Erie Avenue at Front Street
Philadelphia, PA 19134-1095
Phone (215) 427-5190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012386320001 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03488100 | NJ | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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 1255363578
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265480248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
"address_2": "ERIE AVENUE AT FRONT STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341095",
"telephone_number": "215-427-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
"address_2": "ERIE AVENUE AT FRONT STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341095",
"telephone_number": "215-427-5190",
"fax_number": "215-427-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILICZER",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "PA",
"license": "MD426008",
"primary": true
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NJ",
"license": "25MA03488100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012386320001",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.