Organization Active NPI

The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Malvern, PA
National Provider Identifier
1336919083
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE NEMOURS FOUNDATION
Practice address
Uptown Worthington 30 Worthington Boulevard
Malvern, PA 19355
Phone
(302) 651-5204
NPI assigned
Jan 4, 2024
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE NEMOURS FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Mark Mumford
Title
Executive VP, Coo
Phone
(302) 651-6890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

Uptown Worthington 30 Worthington Boulevard
Malvern, PA 19355

Mailing address

PO Box 404016
Atlanta, GA 30384-4016

Other names 1

  • Nemours Children's Hospital, Surgery Center, Malvern Other name

National Provider Directory

National Provider Directory
Tax ID family
Nemours Children's Health Fort Walton Beach Specialty Care75 organizations share this tax ID, including this one
Part of
Nemours Children's Health Fort Walton Beach Specialty Care

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

30 Worthington Blvd
Malvern, PA 19355
Phone (302) 651-5204

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1336919083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404016",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPTOWN WORTHINGTON 30 WORTHINGTON BOULEVARD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "302-651-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEMOURS FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE NEMOURS FOUNDATION",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "MUMFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE VP, COO",
        "authorized_official_telephone_number": "302-651-6890"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nemours Children's Hospital, Surgery Center, Malvern",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nemours Children's Hospital, Surgery Center, Malvern",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.