Organization Active NPI

Mariana Bracetti Academy Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1811088958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MARIANA BRACETTI ACADEMY CHARTER SCHOOL
Practice address
2501 Kensington Ave
Philadelphia, PA 19125-1321
Phone
(215) 525-3612
Fax
(215) 425-8623
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ron Nordmeyer
Title
Director of Operations
Phone
(215) 525-3612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

2501 Kensington Ave
Philadelphia, PA 19125-1321

Mailing address

2501 Kensington Ave
Philadelphia, PA 19125-1321
Phone (215) 525-3612

Other identifiers 1

IdentifierTypeStateIssuer
1012703620001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2501 Kensington Ave
Philadelphia, PA 19125
Phone (215) 525-3612

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811088958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251321",
            "telephone_number": "215-525-3612",
            "fax_number": "215-425-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251321",
            "telephone_number": "215-525-3612",
            "fax_number": "215-425-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA BRACETTI ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORDMEYER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "215-525-3612"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012703620001",
            "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 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.