Organization Active NPI

STC Pediatrics LLC

Doing business as St. Christophers Pediatric Associates Genetics - E. Erie Avenue

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1396389805
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STC PEDIATRICS LLC
Doing business as
St. Christophers Pediatric Associates Genetics - E. Erie Avenue
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-8413
NPI assigned
Oct 29, 2019
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Charles Michael Valentino Jr.
Title
VP of Revenue Integrity
Phone
(484) 628-9380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers 1

IdentifierTypeStateIssuer
1037317900012MedicaidPA

Other names 1

  • St. Christophers Pediatric Associates Genetics - E. Erie Avenue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122001254 PA Part B Supplier - Clinic/Group Practice 7315372323 Receives reassigned benefits from 478 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Pottstown, PA; Phoenixville, PA; Reading, PA; Southampton, PA; Wyomissing, PA; Yardley, PA; Newtown, PA…

National Provider Directory

National Provider Directory
Tax ID family
St Christopher's Hospital for Children- Dental122 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1396389805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STC PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "VALENTINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VP OF REVENUE INTEGRITY",
        "authorized_official_telephone_number": "484-628-9380",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037317900012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Christophers Pediatric Associates Genetics - E. Erie Avenue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Christophers Pediatric Associates Genetics - E. Erie Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.