STC PEDIATRICS LLC NPI 1578107926

NPI Information

  • NPI: 1578107926
  • Provider Name: STC PEDIATRICS LLC
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • :
  • Address: 160 E ERIE AVE
    PHILADELPHIA, PA
    ZIP 19134
  • Phone: (215) 427-5470

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NPI Details

STC PEDIATRICS LLC is a neurology with special qualifications in child neurology psychiatry neurology in Philadelphia, PA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. STC PEDIATRICS LLC NPI is 1578107926. 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) 427-5470

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
1208000000XPediatricsNo
22084N0400XPsychiatry & NeurologyNeurologyNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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
11037317900028MEDICAIDPENNSYLVANIA

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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