Philadelphia Health Associates-Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD006904E Issued in PA

Legal business name

PHILADELPHIA HEALTH ASSOCIATES-PEDIATRICS, PC

Practice address

25 Bala Ave Ste 102
Bala Cynwyd, PA 19004-3214

Phone

(215) 452-0304

Fax

(215) 452-0311

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Darlene James

Title

Office Manager

Phone

(215) 452-0304

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Olga Anolik, MD

  • Pediatrics Physician
  • Bala Cynwyd, PA
  • NPI 1366524043
  NPD
• Nancy Hillis, MD

  • Pediatrics Physician
  • Bala Cynwyd, PA
  • NPI 1427048297
  NPD (past)
• Katherine Elizabeth Wong, CPNP

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1104355098
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1770547499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BALA AVE STE 102",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043214",
            "telephone_number": "215-452-0304",
            "fax_number": "215-452-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BALA AVE STE 102",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043214",
            "telephone_number": "215-452-0304",
            "fax_number": "215-452-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH ASSOCIATES-PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-452-0304",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD006904E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00616630",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01827862",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0763930",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Petyk, PSY.D.
• Vivian Pham, RPH
• Phar-More RX, LLC
• Philadelphia Cosmetic Surgery Center
• Philadelphia Counseling Center LLC
• Philadelphia Psychiatric Consultation Service
• Philadelphia Smart Pain & Wellness, P.C.
• Philia Physio LLC
• Andrew J Philips, MD
• Rita M. Phillips, M.S.S.

• Pediatrics Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, 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 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.