Organization Active NPI

Philadelphia Women'S Center, Inc.

  • Pediatric Adolescent Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1326459371
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
00178701 Issued in PA
Legal business name
PHILADELPHIA WOMEN'S CENTER, INC.
Practice address
777 Appletree St
7TH Floor
Philadelphia, PA 19106-1526
Phone
(215) 574-3590
Fax
(215) 574-3595
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Anne Griffin
Title
Credentialing Coordinator
Phone
(856) 356-4025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 00178701 PA Primary

Addresses

Primary practice location

777 Appletree St
7TH Floor
Philadelphia, PA 19106-1526

Mailing address

601 Chapel Ave E
Suite B
Cherry Hill, NJ 08034-1454
Phone (856) 356-4025

Other identifiers 1

IdentifierTypeStateIssuer
101798790 0002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Women'S Center Inc3 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.

Locations

777 Appletree St
Fl 7
Philadelphia, PA 19106
Phone (215) 574-3590

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1326459371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHAPEL AVE E",
            "address_2": "SUITE B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341454",
            "telephone_number": "856-356-4025",
            "fax_number": "856-356-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 APPLETREE ST",
            "address_2": "7TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061526",
            "telephone_number": "215-574-3590",
            "fax_number": "215-574-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA WOMEN'S CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "856-356-4025"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "00178701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101798790 0002",
            "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 May 13, 2014; 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.