Active NPI
Fox Chase Pediatrics,LLC
- Pediatrics Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FOX CHASE PEDIATRICS,LLC
- Practice address
- 7500 Central Avenue
Suite 205
Philadelphia, PA 19111-2432 - Phone
- (215) 728-7711
- Fax
- (215) 725-2795
- NPI assigned
- Jun 8, 2006
- 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
- Dr. Jeffrey Ettinger, M.D.
- Title
- Partner
- Phone
- (215) 728-7711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
7500 Central Avenue
Suite 205
Philadelphia, PA 19111-2432
Mailing address
7500 Central Avenue
Suite 205
Philadelphia, PA 19111-2432
Phone (215) 728-7711
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0199133 | Fox Chase Pediatrics | Certificate of waiver | Apr 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
7500 Central Ave
Ste 205
Philadelphia, PA 19111
Phone (215) 728-7711
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1396737797
-
- Pediatric Nurse Practitioner
- New Castle, PA
- NPI 1588851356
-
- Pediatrics Physician
- Phila, PA
- NPI 1023010865
-
- Pediatric Nurse Practitioner
- Hatboro, PA
- NPI 1275026528
-
- Primary Care Nurse Practitioner
- Elkins Park, PA
- NPI 1740831064
-
- Pediatric Nurse Practitioner
- Philadelphia, PA
- NPI 1811573926
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1689676538
-
- Pediatric Nurse Practitioner
- Lakewood, NJ
- NPI 1023405842
-
- Pediatrics Physician
- Fort Sill, OK
- NPI 1720341472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477008000000",
"number": "1912947607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 CENTRAL AVENUE",
"address_2": "SUITE 205",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112432",
"telephone_number": "215-728-7711",
"fax_number": "215-725-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CENTRAL AVENUE",
"address_2": "SUITE 205",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112432",
"telephone_number": "215-728-7711",
"fax_number": "215-725-2795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOX CHASE PEDIATRICS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2016-10-21",
"status": "A",
"authorized_official_last_name": "ETTINGER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "215-728-7711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"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 Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.