Active NPI
Danielle Cullen, MD, MPH
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- MT201344
- Practice address
- 3401 Civic Center Blvd
Division of Pediatric Emergency Medicine
Philadelphia, PA 19104 - Phone
- (215) 590-1000
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MT201344 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Division of Pediatric Emergency Medicine
Philadelphia, PA 19104
Mailing address
3401 Civic Center Blvd
Division of Pediatric Emergency Medicine
Philadelphia, PA 19104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT201344 | PA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients |
Locations
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1598869059
-
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- NPI 1699860643
-
- Pediatric Medical Toxicology Physician
- Philadelphia, PA
- NPI 1104911163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1487910337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DIVISION OF PEDIATRIC EMERGENCY MEDICINE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DIVISION OF PEDIATRIC EMERGENCY MEDICINE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "PA",
"license": "MT201344",
"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 Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.