CITY LINE PEDIATRICS
NPI 1477588135
Pediatrics in Philadelphia, PA

NPI Status: Active since July 11, 2006

Contact Information

4190 CITY AVE
SUITE 540
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 871-1800
Fax: (215) 871-1807

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  • Organization
  • Pediatrics
  • CLIA Number: 39D0987154
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-29-2027

About CITY LINE PEDIATRICS

This page provides the complete NPI Profile along with additional information for City Line Pediatrics, a pediatrician established in Philadelphia, Pennsylvania operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1477588135 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 0S005355L (PA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Kathleen Gibbons (Biller)

NPI
1477588135
Provider Name
CITY LINE PEDIATRICS
Entity Type
Organization
Location Address
4190 CITY AVE SUITE 540 PHILADELPHIA, PA 19131
Location Phone
(215) 871-1800
Location Fax
(215) 871-1807
Mailing Address
4190 CITY AVE SUITE 540 PHILADELPHIA, PA 19131
Mailing Phone
(215) 871-1800
Mailing Fax
(215) 871-1807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2006
Last Update Date
09-04-2008
Code Navigator

A pediatrician like City Line Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
0S005355L
License State
PA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KATHLEEN GIBBONS

Authorized Official Title
BILLER
Authorized Official Phone
(215) 871-1800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D0987154
Facility Type
Physician Office
Certificate Effective Date
May 30, 2025
Certificate Expiration Date
May 29, 2027
Laboratory Director
ROSEMARY VICKERS DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to City Line Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477588135, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 8 + 1 + 6 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477588135.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Rheumatology)
4190 CITY AVE, SUITE 330
PHILADELPHIA, PA 19131
Obstetrics & Gynecology
4190 CITY AVE, STE 315
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Family Medicine
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, RH226
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4190 CITY AVE, SUITE 324
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Specialist
4190 CITY AVE
PHILADELPHIA, PA 19131
Obstetrics & Gynecology (Reproductive Endocrinology)
4190 CITY AVE, ROWLAND HALL, SUITE 418
PHILADELPHIA, PA 19131
Physician Assistant (Medical)
4190 CITY AVE, SUITE 528
PHILADELPHIA, PA 19131
Family Medicine
4190 CITY AVE
PHILADELPHIA, PA 19131
Family Medicine (Geriatric Medicine)
4190 CITY AVE, SUITE 315
PHILADELPHIA, PA 19131
Internal Medicine
4190 CITY AVE, SUITE 315
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE, SUITE 315
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4190 CITY AVE, SUITE 315
PHILADELPHIA, PA 19131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477588135, enumerated as an "organization" on July 11, 2006.

The provider is located at 4190 CITY AVE SUITE 540 PHILADELPHIA, PA 19131 and the phone number is (215) 871-1800.

Pediatrics with taxonomy code 208000000X.