Individual provider Active NPI

Phillip B Storm, MD

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1992886949
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD421634 Issued in PA
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

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001972326MedicaidPA
001972326-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040129000289 PA Practitioner - Neurosurgery 0345143103 Reassigns benefits to 1 organization
I20250328001343 NJ Practitioner - Neurosurgery 0345143103 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MD421634PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Surgical Associates of New Jersey Inc CurrentSince Jan 25, 2025 Accepting new patients
Children'S Surgical Associates LTD CurrentSince Nov 7, 2022 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 CurrentSince Jan 25, 2025 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.

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

Verify at the official NPI Registry.