NPIMap

Organization Active NPI

Children's Hospital of Philadelphia

Doing business as Care Network Roxborough

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1952481897
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 Roxborough
Practice address
5003 Umbria St Ste 100
Philadelphia, PA 19128-4369
Phone
(215) 483-3444
Fax
(215) 482-0942
NPI assigned
Oct 16, 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
Fabian Stone
Title
VP Revenue Cycle
Phone
(267) 425-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X PA Primary

Addresses

Primary practice location

5003 Umbria St Ste 100
Philadelphia, PA 19128-4369

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Other identifiers 1

IdentifierTypeStateIssuer
1007709910008MedicaidPA

Other names 1

  • Care Network Roxborough 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 14

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

View all 14

Locations

5003 Umbria St
Ste 100
Philadelphia, PA 19128
Phone (215) 483-3444

Practitioners & affiliated clinicians

Practitioners 2

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1952481897",
    "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": "5003 UMBRIA ST STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284369",
            "telephone_number": "215-483-3444",
            "fax_number": "215-482-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "enumeration_date": "2006-10-16",
        "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": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007709910008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Network Roxborough",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Network Roxborough",
            "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.