Active NPI
Elwyn of Pennsylvania and Delaware
- Local Education Agency (LEA)
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- ELWYN OF PENNSYLVANIA AND DELAWARE
- Practice address
- 4025 Chestnut St
Philadelphia, PA 19104-3054 - Phone
- (215) 222-5066
- Fax
- (215) 222-5143
- NPI assigned
- Aug 19, 2006
- 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
- Donna K Busch
- Title
- Payer Contract Manager
- Phone
- (610) 639-6932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | PA | Primary |
Addresses
Primary practice location
4025 Chestnut St
Philadelphia, PA 19104-3054
Mailing address
4025 Chestnut St
Philadelphia, PA 19104-3054
Phone (215) 222-5066
Other practice location 1
419 Avenue Of The States Fl 3
Chester, PA 19013-4451
Phone (215) 222-8054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000021240225 | Medicaid | PA |
Other names 2
- Elwyn Early Learning Services Philadelphia
- Early Learning Services-Chester Upland
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn Medical Services
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.
-
- Community/Behavioral Health Agency
- Lehigh Valley, PA
- NPI 1275789117
-
- Intellectual Disabilities Intermediate Care Facility
- Boothwyn, PA
- NPI 1306979133
-
- Intellectual Disabilities Intermediate Care Facility
- Elwyn, PA
- NPI 1316248248
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1336273523
-
- Case Management Agency
- Allentown, PA
- NPI 1366698201
-
- Early Intervention Provider Agency
- Philadelphia, PA
- NPI 1396995411
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1417345455
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1457485955
-
- Case Management Agency
- Elwyn, PA
- NPI 1528108875
-
- Local Education Agency (LEA)
- Elwyn, PA
- NPI 1568501799
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Elwyn, PA
- NPI 1568502607
-
- Case Management Agency
- Elwyn, PA
- NPI 1619017969
Locations
419 Avenue of the States
Fl 3
Chester, PA 19013
Phone (215) 222-8054
4025 Chestnut St
Philadelphia, PA 19104
Phone (267) 225-6714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Philadelphia, PA
- NPI 1265811467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657497600000",
"number": "1487768123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043054",
"telephone_number": "215-222-5066",
"fax_number": "215-222-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043054",
"telephone_number": "215-222-5066",
"fax_number": "215-222-5143"
}
],
"practiceLocations": [
{
"address_1": "419 Avenue Of The States Fl 3",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190134451",
"country_code": "US",
"telephone_number": "215-222-8054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELWYN OF PENNSYLVANIA AND DELAWARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "BUSCH",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PAYER CONTRACT MANAGER",
"authorized_official_telephone_number": "610-639-6932"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000021240225",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elwyn Early Learning Services Philadelphia",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Early Learning Services-Chester Upland",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.