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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALISE PECKJIAN MD
NPI 1215558499
Pediatrics in Philadelphia, PA

Active since April 29, 2020PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-7131 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 31, 2026, Jul 15, 2023, May 25, 2023 and 1 more (4 updates tracked since 2020).

About Alise Peckjian Md NPPES

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

ALISE PECKJIAN MD (NPI 1215558499) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481018) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215558499
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALISE PECKJIANCredential: MD
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Phone(215) 590-7131
Sole ProprietorNo
Enumeration DateApril 29, 2020
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1215558499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD481018
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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MT220666 (PA)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 25MA13267000 (NJ)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13535 Market St Fl 2Philadelphia, PA 19104-3317 · Phone (866) 301-4724
Location 23 Cooper Plz Rm 307Camden, NJ 08103-1438 · Phone (856) 342-2328

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alise Peckjian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alise Peckjian's NPI number?

The NPI number for Alise Peckjian is 1215558499. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Alise Peckjian located?

Alise Peckjian practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-7131.

What is Alise Peckjian's specialty?

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

Is Alise Peckjian enrolled in Medicare?

Yes. Alise Peckjian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alise Peckjian was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.