Organization Active NPI

Mastery Charter School-Gratz Campus

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1477830404
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MASTERY CHARTER SCHOOL-GRATZ CAMPUS
Practice address
1798 W Hunting Park Ave
Philadelphia, PA 19140-3408
Phone
(215) 227-4408
NPI assigned
Nov 4, 2011
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Ms. Ann McKetta
Title
Asst. Principal of Spec. Ed.
Phone
(267) 639-0072

Specialties & licenses 1

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

Addresses

Primary practice location

1798 W Hunting Park Ave
Philadelphia, PA 19140-3408

Mailing address

1798 W Hunting Park Ave
Philadelphia, PA 19140-3408
Phone (215) 227-4408

National Provider Directory

National Provider Directory

Locations

1798 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 227-4408

Practitioners & affiliated clinicians

Practitioners 1

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1477830404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403408",
            "telephone_number": "215-227-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403408",
            "telephone_number": "215-227-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERY CHARTER SCHOOL-GRATZ CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "MCKETTA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ASST. PRINCIPAL OF SPEC. ED.",
        "authorized_official_telephone_number": "267-639-0072",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 4, 2011; 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.