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SOUTH PHILADELPHIA PEDIATRICS
NPI 1235188475
Pediatrics in Philadelphia, PA

Active since May 07, 2006CLIA 39D0919090 · Waiver
1408 S. BROAD STREET FLOOR 2, PHILADELPHIA, PA 19146(215) 467-3515(215) 467-0338 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2018, Oct 9, 2018 (2 updates tracked since 2018).

About South Philadelphia Pediatrics NPPES

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

SOUTH PHILADELPHIA PEDIATRICS (NPI 1235188475) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Christine Nguyen, Partner, as its authorized official.

NPPES Registry Identity

NPI1235188475
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH PHILADELPHIA PEDIATRICS
Location Address1408 S. BROAD STREET FLOOR 2Philadelphia, PA 19146
Mailing Address1408 S. Broad Street Floor 2Philadelphia, PA 19146 · (215) 467-3515 · Fax (215) 467-0338
Phone(215) 467-3515
Fax(215) 467-0338
Organization SubpartNo
Authorized OfficialChristine NguyenPartner · (215) 467-3515
Enumeration DateMay 7, 2006
Last NPPES UpdateOctober 25, 20182 updates tracked since enumeration
✔ NPI 1235188475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1408 S. BROAD STREET FLOOR 2, Philadelphia, PA 19146
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Other Identifiers 5

Medicaid1025843220001PA
Medicaid1027885740001PA
Medicaid1027096140001PA
Medicaid1027096410002PA
Medicaid1027571930001PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0919090

South Philadelphia Pediatrics, PC · Philadelphia, PA
Active · expires Apr 19, 2028
CLIA Number39D0919090
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorDr. Jodi M. Kefer MD
Laboratory Phone(215) 467-3515
Laboratory LocationSouth Philadelphia Pediatrics, PC1408 S Broad St, 2nd Floor, Philadelphia, PA 19146
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 South Philadelphia Pediatrics's NPI number?

The NPI number for South Philadelphia Pediatrics is 1235188475. It was assigned to this organization in the NPPES registry on May 7, 2006.

Where is South Philadelphia Pediatrics located?

South Philadelphia Pediatrics is located at 1408 S. Broad Street Floor 2, Philadelphia, PA 19146. The listed phone number is (215) 467-3515.

What is South Philadelphia Pediatrics's specialty?

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

Does South Philadelphia Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0919090) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Philadelphia Pediatrics accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list South Philadelphia Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Philadelphia Pediatrics was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.