NPIMap

Organization Active NPI

Cajulis Pediatrics

Doing business as Red Lion Pediatrics

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1932645447
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD426695 Issued in PA
Legal business name
CAJULIS PEDIATRICS
Doing business as
Red Lion Pediatrics
Practice address
3998 Red Lion Rd
Suite 215
Philadelphia, PA 19114-1445
Phone
(215) 632-5437
Fax
(215) 824-4114
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Jinn Wien Cajulis, MDNPI 1366415267
Title
MD
Phone
(215) 632-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD426695 PA Primary

Addresses

Primary practice location

3998 Red Lion Rd
Suite 215
Philadelphia, PA 19114-1445

Mailing address

3998 Red Lion Rd
Suite 215
Philadelphia, PA 19114-1445
Phone (215) 632-5437

Other identifiers 1

IdentifierTypeStateIssuer
101855458MedicaidPA

Other names 1

  • Red Lion Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

1338 Bristol Pike
Ste 202
Bensalem, PA 19020
Phone (215) 632-5437

3998 Red Lion Rd
Ste 215
Philadelphia, PA 19114
Phone (215) 632-5437

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1932645447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD",
            "address_2": "SUITE 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141445",
            "telephone_number": "215-632-5437",
            "fax_number": "215-824-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD",
            "address_2": "SUITE 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141445",
            "telephone_number": "215-632-5437",
            "fax_number": "215-824-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAJULIS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "CAJULIS",
        "authorized_official_first_name": "JINN WIEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "215-632-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101855458",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Lion Pediatrics",
            "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 9, 2017; 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.