FORT HEALTH MEDICAL GROUP PA
NPI 1104690379
Pediatrics in Philadelphia, PA

Q: What is Fort Health Medical Group PA's NPI number?

The NPI number for Fort Health Medical Group PA is 1104690379. It was assigned to this organization in the NPPES registry on November 8, 2023.

Q: What is Fort Health Medical Group PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 08, 2023

100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107(201) 208-2616 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Oct 10, 2024, Nov 8, 2023 (3 updates tracked since 2023).

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About Fort Health Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT HEALTH MEDICAL GROUP PA (NPI 1104690379) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since November 2023. The organization maintains 2 additional practice locations and lists Saba Haq, President, as its authorized official.

NPPES Registry Identity

NPI1104690379

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameFORT HEALTH MEDICAL GROUP PA

Location Address100 S JUNIPER ST FL 3Philadelphia, PA 19107-1316

Mailing Address1887 Whitney Mesa Dr # 9001znHenderson, NV 89014-2069 · (201) 208-2616 · Fax (973) 381-5773

Phone(201) 208-2616

Organization SubpartNo

Authorized OfficialSaba HaqPresident · (949) 463-0650

Enumeration DateNovember 8, 2023

Last NPPES UpdateMay 15, 20253 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1104690379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

100 S JUNIPER ST FL 3, Philadelphia, PA 19107

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Secondary Practice Locations 2

Location 17244 Castor Ave # 8177Philadelphia, PA 19149-1109 · Phone (201) 208-2616 · Fax (973) 381-5773

Location 24905 W Tilghman St Ste 300Allentown, PA 18104-9135 · Phone (201) 208-2616

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARI KERR NP

Nurse Practitioner (Family)