Organization Active NPI

To Our Children's Future With Health Inc.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1699067256
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD039729-L Issued in PA
Legal business name
TO OUR CHILDREN'S FUTURE WITH HEALTH INC.
Practice address
4035 West Powelton Avenue
Philadelphia, PA 19104
Phone
(215) 222-2161
Fax
(215) 474-0451
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Robin L. Foster-Drain, M.D., M.P.H.
Title
President/Executive Director
Phone
(215) 915-1706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW015104 PA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD039729-L PA Primary

Addresses

Primary practice location

4035 West Powelton Avenue
Philadelphia, PA 19104

Mailing address

1914 North 63Rd Street
Philadelphia, PA 19151-3318
Phone (215) 879-7740

Other identifiers 1

IdentifierTypeStateIssuer
00105466000009MedicaidPA

National Provider Directory

National Provider Directory

Locations

1914 N 63rd St
Philadelphia, PA 19151

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1699067256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 NORTH 63RD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513318",
            "telephone_number": "215-879-7740",
            "fax_number": "215-879-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 WEST POWELTON AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-222-2161",
            "fax_number": "215-474-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO OUR CHILDREN'S FUTURE WITH HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FOSTER-DRAIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-915-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015104",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD039729-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00105466000009",
            "state": "PA"
        }
    ],
    "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 May 13, 2011; 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.