Organization Active NPI

Mastery Charter Cleveland Elementary

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1871830265
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
102732757 Issued in PA
Legal business name
MASTERY CHARTER CLEVELAND ELEMENTARY
Practice address
3701 N 19TH St
Philadelphia, PA 19140-3555
Phone
(215) 227-5042
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Monica Brown
Title
Access Coordinator
Phone
(215) 866-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 102732757 PA Primary

Addresses

Primary practice location

3701 N 19TH St
Philadelphia, PA 19140-3555

Mailing address

5700 Wayne Ave
Philadelphia, PA 19144-3314

Other identifiers 1

IdentifierTypeStateIssuer
102732757MedicaidPA

National Provider Directory

National Provider Directory

Locations

3701 N 19th St
Philadelphia, PA 19140
Phone (215) 227-5042

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1871830265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403555",
            "telephone_number": "215-227-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERY CHARTER CLEVELAND ELEMENTARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ACCESS COORDINATOR",
        "authorized_official_telephone_number": "215-866-9000"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": "102732757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102732757",
            "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 Jan 7, 2013; 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.