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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI 1972607257


NPI Information

NPI: 1972607257
Provider Name: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
3400 SPRUCE ST
8 RAVDIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3228
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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 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. TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI is 1972607257. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
8 RAVDIN
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-3228
Fax: (215) 349-8831

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-7583.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 6/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)No
2208000000XPediatricsNo
32080P0202XPediatricsPediatric CardiologyNo
42080N0001XPediatricsNeonatal-Perinatal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112502OTHERPENNSYLVANIAHEALTHPARTNERS
2706905MEDICARE PINPENNSYLVANIA
3706905OTHERPENNSYLVANIABLUE SHIELD
42Y22674OTHERPENNSYLVANIAHEATLHNET
5502554OTHERPENNSYLVANIAAETNA
61001258770MEDICAIDPENNSYLVANIA
71013506OTHERPENNSYLVANIAKEYSTONE MERCY
87160402MEDICAIDNEW JERSEY
90794792000OTHERPENNSYLVANIAKEYSTONE
10CI1503OTHERPENNSYLVANIARAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.