Organization Active NPI

Philadelphia Montessori Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1366609828
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PHILADELPHIA MONTESSORI CHARTER SCHOOL
Practice address
2227 Island Ave
Philadelphia, PA 19142-1009
Phone
(215) 365-4011
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Kathleen Dzura
Title
C.E.O.
Phone
(215) 365-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

2227 Island Ave
Philadelphia, PA 19142-1009

Mailing address

2227 Island Ave
Philadelphia, PA 19142-1009
Phone (215) 365-4011

Other identifiers 1

IdentifierTypeStateIssuer
1015507960001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2227 Island Ave
Philadelphia, PA 19142
Phone (215) 365-4011

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1366609828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191421009",
            "telephone_number": "215-365-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191421009",
            "telephone_number": "215-365-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA MONTESSORI CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DZURA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "215-365-4011"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015507960001",
            "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 21, 2008; 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.