Active NPI
STC Pediatrics LLC
- Pediatric Cardiology Physician
- Langhorne, PA
National Provider Identifier
1639713944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- STC PEDIATRICS LLC
- Practice address
- 1201 Langhorne Newtown Rd Ste 401
Langhorne, PA 19047-1201 - Phone
- (215) 427-4820
- NPI assigned
- Oct 30, 2019
- 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
- Gary Conner
- Title
- VP & Cfo
- Phone
- (484) 628-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
1201 Langhorne Newtown Rd Ste 401
Langhorne, PA 19047-1201
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other names 1
- St. Christopher's Pediatric Associates Cardiology - Langhorne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1201 Langhorne Newtown Rd
Ste 401
Langhorne, PA 19047
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Philadelphia, PA
- NPI 1598715690
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1275562647
-
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1760709398
-
- Pediatric Rheumatology Physician
- Philadelphia, PA
- NPI 1871705327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1639713944",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LANGHORNE NEWTOWN RD STE 401",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471201",
"telephone_number": "215-427-4820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STC PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VP & CFO",
"authorized_official_telephone_number": "484-628-0797"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Christopher's Pediatric Associates Cardiology - Langhorne",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Christopher's Pediatric Associates Cardiology - Langhorne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.