DR. JONATHAN DAVID HEILICZER M.D. NPI 1265480248

NPI Information

NPI: 1265480248
Provider Name: DR. JONATHAN DAVID HEILICZER, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Address:
ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
ERIE AVENUE AT FRONT STREET
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-5190
Get Directions

DR. Jonathan David Heiliczer, M.D. is a pediatric nephrology pediatrics in Philadelphia, PA. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Jonathan David Heiliczer, M.D. NPI is 1265480248. 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:

ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
ERIE AVENUE AT FRONT STREET
PHILADELPHIA, PA
ZIP 19134-095
Phone: (215) 427-5190
Fax: (215) 427-5351

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2007.

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	2080P0210X	Pediatrics	Pediatric Nephrology	25MA03488100	NEW JERSEY	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	MD426008	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	1012386320001	MEDICAID	PENNSYLVANIA
2	B14373	MEDICARE UPIN	PENNSYLVANIA
3	091202	MEDICARE ID-TYPE UNSPECIFIED

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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