Active NPI
STC Pediatrics LLC
Doing business as St. Christopher's Pediatric Associates Special Needs - Dietitians
- Nutritionist
- Philadelphia, PA
National Provider Identifier
1548867476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- STC PEDIATRICS LLC
- Doing business as
- St. Christopher's Pediatric Associates Special Needs - Dietitians
- Practice address
- 160 E Erie Ave
Philadelphia, PA 19134-1011 - Phone
- (215) 427-8363
- NPI assigned
- Oct 5, 2020
- 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
- Charles Michael Valentino Jr.
- Title
- VP of Revenue Integrity
- Phone
- (484) 628-9380
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Registered Dietitian | 133V00000X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037317900102 | Medicaid | PA |
Other names 1
- St. Christopher's Pediatric Associates Special Needs - Dietitians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200122001254 | PA | Part B Supplier - Clinic/Group Practice | 7315372323 |
Receives reassigned benefits from 478 practitioners This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA; Pottstown, PA; Phoenixville, PA; Reading, PA; Southampton, PA; Wyomissing, PA; Yardley, PA; Newtown, PA… |
National Provider Directory
National Provider Directory- Tax ID family
- St Christopher's Hospital for Children- Dental
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.
-
dba St. Christopher's Hospital for Children- Dental
- Oral and Maxillofacial Surgery Clinic/Center
- Philadelphia, PA
- NPI 1437795234
-
dba St. Christopher's Pediatric Associates Optometry - E. Erie Avenue
- Optometrist
- Philadelphia, PA
- NPI 1407494503
-
dba St. Christopher's Pediatric Associates Endocrinology - Brodhead Road
- Pediatric Endocrinology Physician
- Bethlehem, PA
- NPI 1427692649
-
dba St. Christopher's Pediatric Associates Cardiothoracic Surgery-N. Broad
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1437793833
-
dba St. Christopher's Pediatric Associates Immunology Specialist - Brodhea
- Pediatric Allergy/Immunology Physician
- Bethlehem, PA
- NPI 1447894860
-
dba St Christophers Pediatric Associates Behavioral Health E Erie Avenue
- Psychologist
- Philadelphia, PA
- NPI 1487343364
-
dba St. Christopher's Pediatric Associates Special Needs Specialists
- Pediatrics Physician
- Philadelphia, PA
- NPI 1508466913
-
dba St. Christopher's Pediatric Associates Critical Care - E. Erie Avenue
- Pediatric Critical Care Medicine Physician
- Philadelphia, PA
- NPI 1518501733
-
dba St. Christopher's Pediatric Associates Anesthesiology - E. Erie Avenue
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1528603875
-
dba St. Christopher's Pediatric Associates Neurology - Jenkintown
- Neurology with Special Qualifications in Child Neurology Physician
- Jenkintown, PA
- NPI 1538703608
-
dba St. Christopher's Pediatric Associates Ophthalmology - Newtown Yardley
- Ophthalmology Physician
- Newtown, PA
- NPI 1548141997
-
dba St Christophers Pediatric Associates Speech Therapy E Erie Avenue
- Speech-Language Pathologist
- Philadelphia, PA
- NPI 1548850092
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutritionist
- Philadelphia, PA
- NPI 1902525868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1548867476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-1324",
"fax_number": "484-331-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341011",
"telephone_number": "215-427-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STC PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-05",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "VALENTINO",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "VP OF REVENUE INTEGRITY",
"authorized_official_telephone_number": "484-628-9380",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037317900102",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Christopher's Pediatric Associates Special Needs - Dietitians",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Christopher's Pediatric Associates Special Needs - Dietitians",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Special Needs Specialists)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Critical Care - E. Erie Avenue)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Anesthesiology - E. Erie Avenue)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Immunology PCP- E. Erie Avenue)
- STC Pediatrics LLC (St Christophers Pediatric Associates Speech Therapy E Erie Avenue)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Oncology - E. Erie Avenue)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Plastic Surgery - E. Erie Ave)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Neurology - E. Erie Avenue)
- STC Pediatrics LLC (St Christopher's Pediatric Associates Special Needs)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Neonatology - E. Erie Avenue)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.