Active NPI
Daniel Victor Schidlow, M.D.
- Pediatric Pulmonology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- MD020502E
- Practice address
- 219 N Broad St
9TH Floor
Philadelphia, PA 19107-1519 - Phone
- (215) 762-2688
- Fax
- (215) 762-2689
- NPI assigned
- Aug 9, 2006
- Last updated
- May 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | MD020502E | PA | Primary |
Addresses
Primary practice location
219 N Broad St
9TH Floor
Philadelphia, PA 19107-1519
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020502E | PA | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drexel University | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| Philadelphia Health & Education Corporation | Past | Accepting new patients |
Locations
10 Shurs Ln
Philadelphia, PA 19127
Phone (215) 482-0899
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-5202
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1902816853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST",
"address_2": "SUITE 11511",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021320",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N BROAD ST",
"address_2": "9TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071519",
"telephone_number": "215-762-2688",
"fax_number": "215-762-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIDLOW",
"first_name": "DANIEL",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "PA",
"license": "MD020502E",
"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 May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.