NPIMap

Organization Active NPI

St Gabriels System

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Philadelphia, PA
National Provider Identifier
1265608459
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
125560 Issued in PA
Legal business name
ST GABRIELS SYSTEM
Practice address
227 N 18TH St
Philadelphia, PA 19103-1212
Phone
(215) 665-8777
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Mr. Joseph Lavoritano
Title
Executive Director
Phone
(215) 665-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 125560 PA Primary

Addresses

Primary practice location

227 N 18TH St
Philadelphia, PA 19103-1212

Mailing address

227 N 18TH St
Philadelphia, PA 19103-1212
Phone (215) 665-8777

Other identifiers 1

IdentifierTypeStateIssuer
1007722800001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
St Gabriels System3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1265608459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031212",
            "telephone_number": "215-665-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031212",
            "telephone_number": "215-665-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GABRIELS SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "LAVORITANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-665-8777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "PA",
            "license": "125560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007722800001",
            "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 Jan 7, 2016; 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.