Individual provider Active NPI

Cynthia Collier Warren, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1750331336
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD055124L Issued in PA
Practice address
1740 South St
Suite 301
Philadelphia, PA 19146-1514
Phone
(215) 735-5600
Fax
(215) 735-5690
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD055124L PA Primary

Addresses

Primary practice location

1740 South St
Suite 301
Philadelphia, PA 19146-1514

Mailing address

624 Green Briar Rd
Elkins Park, PA 19027-1511
Phone (215) 572-1313

Other identifiers 1

IdentifierTypeStateIssuer
0015241940007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD055124LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center City Pediatrics, LLC Pediatrics Current Accepting new patients
HR Physician Services Past Accepting new patients
Center City Pediatrics, LLC Past Accepting new patients

Locations

33 Rock Hill Rd
Ste 170
Bala Cynwyd, PA 19004

1740 South St
Ste 301
Philadelphia, PA 19146
Phone (215) 735-5600

1740 South St
Ste 200
Philadelphia, PA 19146
Phone (215) 568-4080

2365 E York St
Philadelphia, PA 19125

Interoperability endpoints

  • Direct secure messaging: cynthiawarren@ccpp.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1750331336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 GREEN BRIAR RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271511",
            "telephone_number": "215-572-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461514",
            "telephone_number": "215-735-5600",
            "fax_number": "215-735-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "CYNTHIA",
        "middle_name": "COLLIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD055124L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015241940007",
            "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 Jun 14, 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.