NPIMap

Organization Active NPI

St. Christopher's Pediatric Associates

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1811945538
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD021329E Issued in PA
Legal business name
ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
Practice address
Front Street at Erie Ave.
Suite 2205
Philadelphia, PA 19134
Phone
(215) 427-8915
Fax
(215) 427-4603
NPI assigned
May 5, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Tracey Page
Title
Program Coordinator
Phone
(215) 427-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD021329E PA Primary

Addresses

Primary practice location

Front Street at Erie Ave.
Suite 2205
Philadelphia, PA 19134

Mailing address

Front Street at Erie Avenue
Suite 2205
Philadelphia, PA 19134
Phone (215) 427-8915

Other identifiers 1

IdentifierTypeStateIssuer
0078325302MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
St Christopher's Hospital for Children5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1811945538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRONT STREET AT ERIE AVENUE",
            "address_2": "SUITE 2205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-427-8915",
            "fax_number": "215-427-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FRONT STREET AT ERIE AVE.",
            "address_2": "SUITE 2205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-427-8915",
            "fax_number": "215-427-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "215-427-3725"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD021329E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078325302",
            "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 Dec 20, 2007; 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.