JERRI MILLER MOSCOW PA-C
NPI 1467014720
Pediatrics - Pediatric Emergency Medicine in Philadelphia, PA

Active since July 07, 2019
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(973) 902-8285 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2026, Jul 7, 2019 (2 updates tracked since 2019).

About Jerri Miller Moscow Pa-c NPPES

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

JERRI MILLER MOSCOW PA-C (NPI 1467014720) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA063892) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1467014720
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJERRI MILLER MOSCOWCredential: PA-C
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (973) 902-8285
Sole ProprietorNo
Enumeration DateJuly 7, 2019
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1467014720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in PA · MA063892
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

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.

Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467014720, enumerated as an "individual" on July 07, 2019.

The provider is located at 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 and the phone number is (973) 902-8285.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.