Allegheny Avenue Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD033660E Issued in PA

Legal business name

ALLEGHENY AVENUE PEDIATRIC CENTER

Practice address

2623 E Allegheny Ave
Philadelphia, PA 19134-5131

Phone

(215) 423-2030

Fax

(215) 423-2340

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Francis O'Connell, M.D.

Title

President

Phone

(215) 423-2030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehrunissa Attari, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1649265257
  NPD (past)
• Susan Brooke O'Connell, CPNP

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
  • NPI 1851614259
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770539678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345131",
            "telephone_number": "215-423-2030",
            "fax_number": "215-423-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345131",
            "telephone_number": "215-423-2030",
            "fax_number": "215-423-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY AVENUE PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-423-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD033660E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010621150002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Allberry
• Allborogh Personal Care Inc.
• Allcare Dental Group LLC
• Allcare Medical Equipment Inc
• Allcare Medical Equipment Inc.
• Allegheny Dental 1
• Allegheny Family Chiropractic Center
• Allegheny Hand of Care LLC
• Allegheny Plaza Pharmacy
• Allegiance Home Health Agency Inc

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.