STC PEDIATRICS LLC NPI 1033753405

NPI Information

  • NPI: 1033753405
  • Provider Name: STC PEDIATRICS LLC
  • Classification: Radiology - 2085P0229X
  • Specialization: Pediatric Radiology
  • Entity Type: Organization
  • :
  • Address: 160 E ERIE AVE
    PHILADELPHIA, PA
    ZIP 19134
  • Phone: (215) 427-5234

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NPI Details

STC PEDIATRICS LLC is a pediatric radiology radiology in Philadelphia, PA. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. STC PEDIATRICS LLC NPI is 1033753405. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

160 E ERIE AVE
PHILADELPHIA, PA
ZIP 19134-011
Phone: (215) 427-5234

The provider's authorized official is Brian Rayme .
The authorized official title is Evp & Cfo and has the following contact phone number (484) 628-1324.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 11/6/2025.

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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22085U0001XRadiologyDiagnostic UltrasoundNo
32085R0202XRadiologyDiagnostic RadiologyNo
42085P0229XRadiologyPediatric RadiologyYes

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
11037317900031MEDICAIDPENNSYLVANIA

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: 11/21/2025

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