Samuel J Garber, MD

Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Philadelphia, PA

NPI 1497784904 · NPPES record last updated Apr 17, 2013

Key facts

NPI
1497784904
Entity type
Individual (NPI type 1)
Primary specialty
Neonatal-Perinatal Medicine Physician 2080N0001X
License
MD419186 (PA)
Practice address
800 Spruce St FL 2
Chop Care Network at Pennsylvania Hospital
Philadelphia, PA 19107-6130
Phone
(215) 829-3191
Fax
(215) 829-7123
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA, NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050615000600 PA Practitioner - Pediatric Medicine 2163466640 Reassigns benefits to 1 organization
I20110215000516 NJ Practitioner - Pediatric Medicine 2163466640 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates of New Jersey PC Pediatrics Current Accepting new patients
Children'S Healthcare Associates of New Jersey PC Current
since Nov 3, 2010
Accepting new patients
Childen'S Health Care Associates Inc. Current
since Oct 22, 2010
Accepting new patients
Childrens Health Care Associates, Inc Neonatal-Perinatal Medicine Current
since Oct 22, 2010
Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Childens Health Care Associates of New Jersey PC Current
since Nov 3, 2010
Accepting new patients
University of Penn - Medical Group Past Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients
Trustees of the University of Pennsylvania Pediatrics Past Accepting new patients

Locations

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

800 Spruce St
Fl 2
Philadelphia, PA 19107
Phone (215) 829-3191

3400 Spruce St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-2415

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD419186 PA
Neonatal-Perinatal Medicine Physician 2080N0001X MD419186 PA Yes

Addresses

Primary practice location

800 Spruce St FL 2
Chop Care Network at Pennsylvania Hospital
Philadelphia, PA 19107-6130

Mailing address

100 E Penn SQ
9TH Floor
Philadelphia, PA 19107-3323
Phone (267) 425-9234

Other identifiers

IdentifierTypeStateIssuer
0065374MedicaidNJ
1012746010001MedicaidPA

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Neonatal-Perinatal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.