NPIMap

Organization Active NPI

Children'S Hospital of Philadelphia

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1629168232
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice address
1700 S Broad St. Ste 301
Philadelphia, PA 19145-2340
Phone
(215) 467-5870
Fax
(215) 467-5873
NPI assigned
Oct 13, 2006
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fabian Stone
Title
VP Revenue Cycle
Phone
(267) 425-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X PA Primary

Addresses

Primary practice location

1700 S Broad St. Ste 301
Philadelphia, PA 19145-2340

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Other identifiers 1

IdentifierTypeStateIssuer
1007709910013MedicaidPA

Other names 1

  • Care Network South Philadelphia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital of Philadelphia70 organizations share this tax ID, including this one
Part of
Childrens Hospital of Philadelphia

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.

View all 24

Locations

495 Highland Blvd
Ste 100
Coatesville, PA 19320
Phone (610) 384-9500

250 W Lancaster Ave
Ste 340
Paoli, PA 19301
Phone (610) 407-9000

1700 S Broad St
Fl 3
Philadelphia, PA 19145
Phone (215) 467-5870

1590 Medical Dr
Ste E
Pottstown, PA 19464
Phone (610) 326-4980

800 Heritage Dr
Ste 820
Pottstown, PA 19464
Phone (610) 323-6835

3457 Bethlehem Pike
Fl 2
Souderton, PA 18964

440 E Marshall St
Ste 300
West Chester, PA 19380
Phone (610) 436-8611

440 E Marshall St
Fl 3
West Chester, PA 19380
Phone (610) 436-8611

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1629168232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BROAD ST. STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452340",
            "telephone_number": "215-467-5870",
            "fax_number": "215-467-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "267-425-5765"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007709910013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Network South Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Network South Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.