NPIMap

Organization Active NPI

Childrens Hospital of Philadelphia

Doing business as CHOP Urgent Care King of Prussia

  • Pediatrics Physician
  • King of Prussia, PA
National Provider Identifier
1891126488
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDRENS HOSPITAL OF PHILADELPHIA
Doing business as
CHOP Urgent Care King of Prussia
Practice address
550 S Goddard Blvd
King of Prussia, PA 19406-2931
Phone
(610) 337-3232
Fax
(610) 337-0325
NPI assigned
Dec 6, 2013
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Fabian Stone
Title
VP Revenue Cycle
Phone
(267) 425-5765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

550 S Goddard Blvd
King of Prussia, PA 19406-2931

Mailing address

3401 Civic Center Blvd # a
Philadelphia, PA 19104-4319
Phone (215) 590-2897

Other identifiers 1

IdentifierTypeStateIssuer
1007709910098MedicaidPA

Other names 1

  • CHOP Urgent Care King of Prussia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kids First Indian Valle70 organizations share this tax ID, including this one
Part of
Kids First Indian Valle

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

950 Pulaski Dr
King of Prussia, PA 19406
Phone (610) 337-8160

3401 Civic Center Blvd
#A
Philadelphia, PA 19104

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1891126488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD # A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-2897",
            "fax_number": "215-590-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S GODDARD BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062931",
            "telephone_number": "610-337-3232",
            "fax_number": "610-337-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "enumeration_date": "2013-12-06",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "267-425-5765"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007709910098",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOP Urgent Care King of Prussia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHOP Urgent Care King of Prussia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.