NPIMap

Organization Active NPI

Children'S Hospital of Philadelphia

  • Pediatrics Physician
  • Pottstown, PA
National Provider Identifier
1720116627
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice address
1590 Medical Dr Ste E
Pottstown, PA 19464-3247
Phone
(610) 326-6976
Fax
(610) 326-4435
NPI assigned
Mar 1, 2007
Organization subpart
Yes
Parent organization
CHILDREN'S HSOPITAL OF PHILADELPHIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Mr. Thomas Todorow
Title
VP Finance
Phone
(267) 426-6940

Specialties & licenses 1

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

Addresses

Primary practice location

1590 Medical Dr Ste E
Pottstown, PA 19464-3247

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Other identifiers 1

IdentifierTypeStateIssuer
01730165MedicaidPA

Other names 1

  • Care Network Pottstown 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

3770 Ridge Pike
Collegeville, PA 19426
Phone (610) 489-8130

1437 DeKalb St
Ste 100
Norristown, PA 19401
Phone (610) 272-4550

1590 Medical Dr
Pottstown, PA 19464
Phone (610) 326-8400

800 Heritage Dr
Pottstown, PA 19464
Phone (484) 678-4284

Practitioners & affiliated clinicians

Practitioners 1

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1720116627",
    "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": "1590 MEDICAL DR STE E",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643247",
            "telephone_number": "610-326-6976",
            "fax_number": "610-326-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HSOPITAL OF PHILADELPHIA",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "TODOROW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "267-426-6940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01730165",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Network Pottstown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Network Pottstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.