Memphis Street Academy Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MEMPHIS STREET ACADEMY CHARTER SCHOOL

Practice address

2950 Memphis Street
Philadelphia, PA 19134

Phone

(215) 291-4709

Fax

(215) 291-4754

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christine Marie Borelli

Title

Ceo

Phone

(215) 291-4709

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1699109793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 MEMPHIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344314",
            "telephone_number": "215-291-4709",
            "fax_number": "215-291-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 MEMPHIS STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-291-4709",
            "fax_number": "215-291-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS STREET ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BORELLI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-291-4709",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadi Memar
• Julia Membrino
• Elton Memelli
• Rmaah Memon, MD
• Memphis Street Academy Charter School
• Memphis Street Pediatrics LLC
• Mems Healthcare LLC
• Men & Women for Human Excellence, Inc.
• Men Makers LLC
• Jorge Luis Mena Toro

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.