FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
NPI 1487987020
Clinic/Center - Primary Care in Phila, PA

Active since September 15, 2009
2000 HAMILTON ST, #109, PHILA, PA 19130(215) 774-1166(215) 279-8383 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairmount Pediatrics And Adolescent Medicine NPPES

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

FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE (NPI 1487987020) is a healthcare organization registered as a primary care in Phila, Pennsylvania and active in the NPI registry since September 2009. The organization lists Alexis S Lieberman, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1487987020
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
Location Address2000 HAMILTON ST, #109Phila, PA 19130-3814
Mailing Address7042 Greene StPhila, PA 19119-3439 · (215) 990-6625 · Fax (215) 279-8383
Fax(215) 279-8383
Organization SubpartNo
Authorized OfficialAlexis S LiebermanMember Manager · (215) 774-1166
Enumeration DateSeptember 15, 2009
NPI 1487987020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in PA · MD059659L
2000 HAMILTON ST, Phila, PA 19130

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
2000 HAMILTON ST
PHILADELPHIA, PA 19130
Pharmacist
2000 HAMILTON ST
PHILADELPHIA, PA 19130
Nurse Practitioner (Family)
2000 HAMILTON ST
PHILADELPHIA, PA 19130
Pharmacist
2000 HAMILTON ST
PHILADELPHIA, PA 19130
Pharmacist
2000 HAMILTON ST
PHILADELPHIA, PA 19130
Ophthalmology
2000 HAMILTON ST, RODIN PLACE SUITE 306
PHILADELPHIA, PA 19130
Dietitian, Registered
2000 HAMILTON ST, SUITE 303
PHILADELPHIA, PA 19130
Dietitian, Registered
2000 HAMILTON ST, SUITE 303
PHILADELPHIA, PA 19130

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 Fairmount Pediatrics And Adolescent Medicine's NPI number?

The NPI number for Fairmount Pediatrics And Adolescent Medicine is 1487987020. It was assigned to this organization in the NPPES registry on September 15, 2009.

Where is Fairmount Pediatrics And Adolescent Medicine located?

Fairmount Pediatrics And Adolescent Medicine is located at 2000 Hamilton St #109, Phila, PA 19130. The listed phone number is (215) 774-1166.

What is Fairmount Pediatrics And Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fairmount Pediatrics And Adolescent Medicine was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.