The Children's Hospital of Philadelphia

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

26NJ00616800 Issued in NJ

Legal business name

THE CHILDREN'S HOSPITAL OF PHILADELPHIA

Practice address

3201 Marne Hwy
Mount Laurel, NJ 08054-9716

Phone

(856) 235-2147

Fax

(856) 235-6905

NPI assigned

Jan 22, 2016

Last updated

Jan 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan C Canavan, MSN

Title

CPNP-PC

Phone

(856) 979-2088

Specialties & licenses 1

Addresses

Other names 1

• CHOP Care Network Mt. Laurel Other name

Tax ID family

The Children's Hospital of Philadelphia70 organizations share this tax ID, including this one

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1295192193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 MARNE HWY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549716",
            "telephone_number": "856-235-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MARNE HWY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549716",
            "telephone_number": "856-235-2147",
            "fax_number": "856-235-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "CANAVAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CPNP-PC",
        "authorized_official_telephone_number": "856-979-2088",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "26NJ00616800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOP Care Network Mt. Laurel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen Michael Testa, M.D.
• Mark Anthony Testaiuti, M.D.
• Tetra Logistics LLC
• Akriti S Thavanai
• The Cardiology Group, P.a.
• The Foot and Ankle Group PC
• The Halford Company (Zounds Hearing of Mount Laurel)
• Nadeige Theophile, M.A., RBT
• Brittany Thompson
• Chad Thompson, LCSW

• Primary Care Clinic/Center in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.