Active NPI
To Our Children's Future With Health Inc.
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1699067256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD039729-L
- 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, 2011
- 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
- Dr. Robin L. Foster-Drain, M.D., M.P.H.
- Title
- President/Executive Director
- Phone
- (215) 915-1706
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015104 | PA | |
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00105466000009 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.