NPIMap

Organization Active NPI

Firely Pediatrics

  • Medically Fragile Infants and Children Day Care
  • Harleysville, PA
National Provider Identifier
1962694067
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
FIRELY PEDIATRICS
Practice address
364 Maple Ave
Harleysville, PA 19438-2237
Phone
(215) 513-1662
Fax
(215) 513-3031
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Mr. John M Firely
Title
President
Phone
(215) 513-7455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Primary
Pediatric Skilled Nursing Facility 3140N1450X 18624001 PA

Addresses

Primary practice location

364 Maple Ave
Harleysville, PA 19438-2237

Mailing address

364 Maple Ave
Harleysville, PA 19438-2237
Phone (215) 513-1662

Other identifiers 1

IdentifierTypeStateIssuer
377740MedicaidPA

Other names 1

  • Harleysville Pediatric Extended Services Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Firely Home for Kids11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

364 Maple Ave
Harleysville, PA 19438
Phone (215) 513-7455

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1962694067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 MAPLE AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382237",
            "telephone_number": "215-513-1662",
            "fax_number": "215-513-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 MAPLE AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382237",
            "telephone_number": "215-513-1662",
            "fax_number": "215-513-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "FIRELY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-513-7455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "PA",
            "license": "18624001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377740",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harleysville Pediatric Extended Services Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Harleysville Pediatric Extended Services Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.