Active NPI
STC Pediatrics LLC
Doing business as St. Christopher's Pediatric Associates Endocrinology - Sewell
- Pediatric Endocrinology Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- Legal business name
- STC PEDIATRICS LLC
- Doing business as
- St. Christopher's Pediatric Associates Endocrinology - Sewell
- Practice address
- 100 Kings Way E Ste C
Sewell, NJ 08080-2238 - Phone
- (856) 582-0644
- NPI assigned
- Dec 11, 2019
- Last updated
- Dec 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Conner
- Title
- VP & Cfo
- Phone
- (484) 628-8181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | Primary |
Addresses
Primary practice location
100 Kings Way E Ste C
Sewell, NJ 08080-2238
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other names 1
- St. Christopher's Pediatric Associates Endocrinology - Sewell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200218001168 | NJ | Part B Supplier - Clinic/Group Practice | 7315372323 |
Receives reassigned benefits from 29 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sewell, NJ |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba St. Christopher's Pediatric Associates Otolaryngology - Sewell
- Pediatric Otolaryngology Physician
- Sewell, NJ
- NPI 1063056208
O20200218001168
-
dba St. Christopher's Pediatric Associates Plastic Surgery - Sewell
- Plastic Surgery Physician
- Sewell, NJ
- NPI 1194369504
O20200218001168
-
dba St. Christopher's Pediatric Associates General Surgery - Sewell
- Pediatric Surgery Physician
- Sewell, NJ
- NPI 1417591645
O20200218001168
-
dba St. Christopher's Pediatric Associates Pulmonary - Sewell
- Pediatric Pulmonology Physician
- Sewell, NJ
- NPI 1427692821
O20200218001168
-
dba St. Christopher's Pediatric Associates Neurology - Sewell
- Neurology with Special Qualifications in Child Neurology Physician
- Sewell, NJ
- NPI 1548804909
O20200218001168
-
dba St. Christopher's Pediatric Associates Ophthalmology - Sewell
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Sewell, NJ
- NPI 1568006799
O20200218001168
-
dba St. Christopher's Pediatric Associates Orthopedics - Sewell
- Pediatric Orthopaedic Surgery Physician
- Sewell, NJ
- NPI 1619511078
O20200218001168
-
dba St. Christophers Pediatric Associates Rheumatology - Sewell
- Pediatric Rheumatology Physician
- Sewell, NJ
- NPI 1659916138
O20200218001168
-
dba St. Christopher's Pediatric Associates Gastroenterology - Sewell
- Pediatric Gastroenterology Physician
- Sewell, NJ
- NPI 1730723248
O20200218001168
-
dba St. Christopher's Pediatric Associates Nephrology - Sewell
- Pediatric Nephrology Physician
- Sewell, NJ
- NPI 1740825215
O20200218001168
-
dba St. Christopher's Pediatric Associates Cardiology- Sewell
- Pediatric Cardiology Physician
- Sewell, NJ
- NPI 1801430202
O20200218001168
-
dba St. Christopher's Pediatric Associates - Registered Dieticians
- Nutritionist
- Philadelphia, PA
- NPI 1972299741
O20200218001168
National Provider Directory
National Provider Directory- Tax ID family
- St Christopher's Hospital for Children- Dental
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba St. Christopher's Pediatric Associates Optometry - Sewell
- Optometrist
- Sewell, NJ
- NPI 1194363291
-
dba St. Christopher's Pediatric Associates Plastic Surgery - Sewell
- Plastic Surgery Physician
- Sewell, NJ
- NPI 1194369504
-
dba St. Christopher's Pediatric Associates General Surgery - Sewell
- Pediatric Surgery Physician
- Sewell, NJ
- NPI 1417591645
-
dba St. Christopher's Pediatric Associates Pulmonary - Sewell
- Pediatric Pulmonology Physician
- Sewell, NJ
- NPI 1427692821
-
dba St. Christopher's Pediatric Associates Neurology - Sewell
- Neurology with Special Qualifications in Child Neurology Physician
- Sewell, NJ
- NPI 1548804909
-
dba St. Christopher's Pediatric Associates Ophthalmology - Sewell
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Sewell, NJ
- NPI 1568006799
-
dba St Christopher's Pediatric Associates Wash Pulmonary
- Pediatric Pulmonology Physician
- Sewell, NJ
- NPI 1598303133
-
dba St. Christopher's Pediatric Associates Orthopedics - Sewell
- Pediatric Orthopaedic Surgery Physician
- Sewell, NJ
- NPI 1619511078
-
dba St. Christophers Pediatric Associates Rheumatology - Sewell
- Pediatric Rheumatology Physician
- Sewell, NJ
- NPI 1659916138
-
dba St. Christopher's Pediatric Associates Gastroenterology - Sewell
- Pediatric Gastroenterology Physician
- Sewell, NJ
- NPI 1730723248
-
dba St. Christopher's Pediatric Associates Nephrology - Sewell
- Pediatric Nephrology Physician
- Sewell, NJ
- NPI 1740825215
-
dba St. Christopher's Pediatric Associates Cardiology- Sewell
- Pediatric Cardiology Physician
- Sewell, NJ
- NPI 1801430202
Locations
100 Kings Way W
Sewell, NJ 08080
Practitioners & affiliated clinicians
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.
-
- Pediatric Surgery Physician
- Fountain Hill, PA
- NPI 1184833519
-
- Clinical Neurophysiology Physician
- Philadelphia, PA
- NPI 1467474429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1871131771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KINGS WAY E STE C",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802238",
"telephone_number": "856-582-0644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STC PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-11",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VP & CFO",
"authorized_official_telephone_number": "484-628-8181"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Christopher's Pediatric Associates Endocrinology - Sewell",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sewell, NJ
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Orthopedics - Sewell)
- STC Pediatrics LLC (St. Christophers Pediatric Associates Rheumatology - Sewell)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Gastroenterology - Sewell)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Nephrology - Sewell)
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Cardiology- Sewell)
- Justin Stefanowicz, CPHT
- Jay Steinberg, D.O.
- Clare Stephens, DO
- Sara Sterling
- Jean Stern, APN-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.