Organization Active NPI

Henry Avenue Pediatrics

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1861651911
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HENRY AVENUE PEDIATRICS
Practice address
8500 Henry Ave
Philadelphia, PA 19128-2111
Phone
(215) 483-8865
Fax
(215) 483-8915
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Louise T Holmes
Title
Practice Manager
Phone
(215) 707-1059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8500 Henry Ave
Philadelphia, PA 19128-2111

Mailing address

8500 Henry Ave
Philadelphia, PA 19128-2111
Phone (215) 483-8865

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1861651911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282111",
            "telephone_number": "215-483-8865",
            "fax_number": "215-483-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282111",
            "telephone_number": "215-483-8865",
            "fax_number": "215-483-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY AVENUE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "215-707-1059"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 13, 2010; 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.