Active NPI
Mastery Charter School-Gratz Campus
- Local Education Agency (LEA)
- Philadelphia, PA
National Provider Identifier
1477830404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- School Social Worker
- Rochelle Park, NJ
- NPI 1518340538
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
- Mastery Charter Cleveland Elementary
- Mastery Charter Hardy Williams
- Mastery Charter High School
- Mastery Charter Mann Elementary School
- Mastery Charter School - Clymer Elementary
- Mastery Charter School-Shoemaker Campus
- Mastery Charter School-Thomas Campus
- Mastery CS - Pickett Campus
- Nicholas F Maston, M.D.
- Lisa Mastoon
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.