Active NPI
Phillip B Storm, MD
- Neurological Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD421634
- Practice address
- 34TH & Civic Center Blvd.
Philadelphia, PA 19104-4306 - Phone
- (215) 590-2780
- Fax
- (215) 590-4809
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD421634 | PA | Primary |
Addresses
Primary practice location
34TH & Civic Center Blvd.
Philadelphia, PA 19104-4306
Mailing address
100 E Penn SQ
The Wanamaker Building 9TH FL
Philadelphia, PA 19107-3323
Phone (267) 425-9538
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001972326 | Medicaid | PA | |
| 001972326-0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Johns Hopkins University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD421634 | PA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Surgical Associates of New Jersey Inc | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Current | Accepting new patients | |
| Children'S Surgical Associates LTD | Current | Accepting new patients | |
| Children'S Surgical Associates of New Jersey Inc | Current | Accepting new patients | |
| Children'S Surgical Associates of New Jersey Inc | Current | Accepting new patients | |
| Ophthalmic Partners of Pennsylvania, PC | Past | Accepting new patients | |
| Childrens Hospital of Philadelphia | Past | Accepting new patients | |
| Children'S Surgical Associates LTD | Past | Accepting new patients | |
| Johns Hopkins University | Neurological Surgery | Past | Accepting new patients |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients | |
| Children'S Surgical Associates LTD | Neurological Surgery | Past | Accepting new patients |
| Radiology Associates of Children'S Hospital, Inc | Past | Accepting new patients |
Locations
4009 Black Horse Pike
Mays Landing, NJ 08330
Phone (267) 425-9505
101 Plainsboro Rd
Plainsboro, NJ 08536
Phone (267) 425-9505
200 Bowman Dr
Fl 2
Voorhees, NJ 08043
Phone (267) 425-5400
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
100 E Penn Sq
Bldg 9TH
Philadelphia, PA 19107
Phone (267) 425-9538
3400 Spruce St
Fl 3
Philadelphia, PA 19104
3401 Civic Center Blvd
Ste 34
Philadelphia, PA 19104
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Philadelphia, PA
- NPI 1326117185
-
- Surgery Physician
- Voorhees, NJ
- NPI 1801984620
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1598834343
-
- Optometrist
- Voorhees, NJ
- NPI 1609674399
-
- Ophthalmology Physician
- Voorhees, NJ
- NPI 1952487290
-
- Urology Physician
- Philadelphia, PA
- NPI 1003985854
-
- Pediatric Surgery Physician
- Philadelphia, PA
- NPI 1760562581
Neurological Surgery
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
-
- Ophthalmology Physician
- Bala Cynwyd, PA
- NPI 1912970666
-
- Pediatric Radiology Physician
- Philadelphia, PA
- NPI 1467403261
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
-
- Neurological Surgery Physician
- Bethesda, MD
- NPI 1578569240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1992886949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ",
"address_2": "THE WANAMAKER BUILDING 9TH FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9538",
"fax_number": "267-425-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH & CIVIC CENTER BLVD.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044306",
"telephone_number": "215-590-2780",
"fax_number": "215-590-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORM",
"first_name": "PHILLIP",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD421634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001972326",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001972326-0001",
"state": "PA"
}
],
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.