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CITY LINE PEDIATRICS
NPI 1477588135
Pediatrics in Philadelphia, PA

Active since July 11, 2006CLIA 39D0987154 · Waiver
4190 CITY AVE, SUITE 540, PHILADELPHIA, PA 19131(215) 871-1800(215) 871-1807 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About City Line Pediatrics NPPES

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

CITY LINE PEDIATRICS (NPI 1477588135) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Kathleen Gibbons, Biller, as its authorized official.

NPPES Registry Identity

NPI1477588135
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCITY LINE PEDIATRICS
Location Address4190 CITY AVE, SUITE 540Philadelphia, PA 19131-1626
Mailing Address4190 City Ave, Suite 540Philadelphia, PA 19131-1626 · (215) 871-1800 · Fax (215) 871-1807
Phone(215) 871-1800
Fax(215) 871-1807
Organization SubpartNo
Authorized OfficialKathleen GibbonsBiller · (215) 871-1800
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1477588135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · 0S005355L
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.
4190 CITY AVE, Philadelphia, PA 19131
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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

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 39D0987154

City Line Pediatrics PC · Philadelphia, PA
Active · expires May 29, 2027
CLIA Number39D0987154
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorRosemary Vickers Do
Laboratory Phone(215) 871-1800
Laboratory LocationCity Line Pediatrics PC4190 City Line Avenue Suite 540, Philadelphia, PA 19131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ZEEL HEMANTBHAI PATEL M.B.B.S
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. LAUREN NOTO BELL D.O.
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6425
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. STEPHEN CHARLES SIZER D.O.
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
DR. SVETLANA FELDMAN
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
MAREN LEIGH DOWNING DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (803) 587-9327
ENT R NET, P A
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-0060
DR. LEE ANN BRODZIK D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800

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 City Line Pediatrics's NPI number?

The NPI number for City Line Pediatrics is 1477588135. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is City Line Pediatrics located?

City Line Pediatrics is located at 4190 City Ave Suite 540, Philadelphia, PA 19131. The listed phone number is (215) 871-1800.

What is City Line Pediatrics's specialty?

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

Does City Line Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0987154) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Line Pediatrics was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.