NPIMap

Organization Active NPI

Einstein Community Health Associates, Inc

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1326557059
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC
Practice address
101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone
(215) 456-4694
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Miss Dawn Candia
Title
Supervisor, Enrollment
Phone
(215) 456-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X PA Primary

Addresses

Primary practice location

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470

Mailing address

5501 Old York Road
Korman, Suite 202
Philadelphia, PA 19141

Other identifiers 1

IdentifierTypeStateIssuer
0015771700023MedicaidPA

Other names 1

  • ECHA Pediatrics Other name

National Provider Directory

National Provider Directory
Tax ID family
Einstein Community Health Associates Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1326557059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD",
            "address_2": "KORMAN, SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "CANDIA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "SUPERVISOR, ENROLLMENT",
        "authorized_official_telephone_number": "215-456-4694",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015771700023",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECHA Pediatrics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ECHA Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 27, 2017; 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.