MICHAEL JOHN JANECZKO MD NPI 1417168105

NPI Information

NPI: 1417168105
Provider Name: MICHAEL JOHN JANECZKO, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 829-3191
Get Directions

Michael John Janeczko, 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. Michael John Janeczko, MD NPI is 1417168105. 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
CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 829-3191
Fax: (215) 829-7123

The NPI 1417168105 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 5/24/2007 and was last updated on 2/13/2020.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	C10010611	DELAWARE	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MD431490	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	Other Provider Identifier Issuer
1	0138681	MEDICAID	NEW JERSEY
2	C10010611	OTHER	DELAWARE	LICENSE
3	DR0009576	OTHER	DELAWARE	CDS
4	MD431490	OTHER	PENNSYLVANIA	LICENSE
5	FJ4132318	OTHER	DELAWARE	DEA
6	101960956	MEDICAID	PENNSYLVANIA
7	FJ0288464	OTHER	PENNSYLVANIA	DEA

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

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.

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