NPIMap

Organization Active NPI

Children's Hospital of Philadelphia

Doing business as Care Network Cobbs Creek

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1932299617
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Doing business as
Care Network Cobbs Creek
Practice address
225 Cobbs Creek Parkway
Philadelphia, PA 19139-3723
Phone
(215) 476-2223
Fax
(215) 476-3981
NPI assigned
Oct 13, 2006
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
Mr. Fabian Stone
Title
VP Revenue Cycle
Phone
(267) 425-5765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

225 Cobbs Creek Parkway
Philadelphia, PA 19139-3723

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Other identifiers 1

IdentifierTypeStateIssuer
1007709910011MedicaidPA

Other names 1

  • Care Network Cobbs Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Childrens Hospital of Philadelphia70 organizations share this tax ID, including this one
Part of
The Childrens Hospital of Philadelphia

Organizations with this tax ID in the same state 16

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

View all 16

Locations

1900 S Broad St
Fl 2
Philadelphia, PA 19145
Phone (215) 467-5870

3550 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 590-2178

3833 Chestnut St
Philadelphia, PA 19104
Phone (215) 387-3223

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1932299617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COBBS CREEK PARKWAY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393723",
            "telephone_number": "215-476-2223",
            "fax_number": "215-476-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "enumeration_date": "2006-10-13",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007709910011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Network Cobbs Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Network Cobbs Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.