ELIZA CAROLINE DESANTIS MD NPI 1932595485

NPI Information

NPI: 1932595485
Provider Name: ELIZA CAROLINE DESANTIS, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
833 CHESTNUT ST STE 1210
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-2074
Get Directions

Eliza Caroline Desantis, MD is a neonatal-perinatal medicine pediatrics in Philadelphia, PA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Eliza Caroline Desantis, MD NPI is 1932595485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

833 CHESTNUT ST STE 1210
PHILADELPHIA, PA
ZIP 19107-428
Phone: (215) 955-2074
Fax: (215) 861-0408

The NPI 1932595485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2015 and was last updated on 9/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD464274	PENNSYLVANIA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MT208953	PENNSYLVANIA	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	C7-00007186	DELAWARE	Yes
4	208000000X	Pediatrics		25MA10378300	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C7-0005869	OTHER	DELAWARE	DE TRAINING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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