DR. PAUL JACOB UFBERG DO MBA NPI 1124265004

NPI Information

NPI: 1124265004
Provider Name: DR. PAUL JACOB UFBERG, DO, MBA
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDRENS HOSPITAL OF PHILADELPHIA CHCA GASTRO
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3247
Get Directions

DR. Paul Jacob Ufberg, DO, MBA is a pediatric gastroenterology pediatrics in Philadelphia, PA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Paul Jacob Ufberg, DO, MBA NPI is 1124265004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHILDRENS HOSPITAL OF PHILADELPHIA CHCA GASTRO
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-3247
Fax: (215) 590-3606

The NPI 1124265004 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 1/14/2009 and was last updated on 11/11/2015.

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	2080P0206X	Pediatrics	Pediatric Gastroenterology	DO2327	MAINE	No
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	005201	ARIZONA	No
3	2080P0206X	Pediatrics	Pediatric Gastroenterology	OS013980	PENNSYLVANIA	Yes

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
1	003109101	MEDICARE PIN	MAINE
2	Z146251	MEDICARE PIN	ARIZONA
3	003109102	MEDICARE PIN	MAINE

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: 11/14/2023

NPI Synchronization or Removal

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