MT. AIRY PEDIATRICS, PC
NPI 1730516659
Pediatrics in Philadelphia, PA

Active since October 09, 2013CLIA 39D0672730 · Waiver
6673 GERMANTOWN AVE, PHILADELPHIA, PA 19119(215) 247-2996(215) 247-7504 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mt. Airy Pediatrics, Pc NPPES

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

MT. AIRY PEDIATRICS, PC (NPI 1730516659) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jennifer Louis Jadotte, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1730516659
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMT. AIRY PEDIATRICS, P.C.
Location Address6673 GERMANTOWN AVEPhiladelphia, PA 19119-2252
Mailing Address6673 Germantown AvePhiladelphia, PA 19119-2252 · (215) 247-2996 · Fax (215) 247-7504
Fax(215) 247-7504
Organization SubpartNo
Authorized OfficialJennifer Louis JadottePractice Manager · (215) 247-2996
Enumeration DateOctober 9, 2013
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 26, 2022
NPI 1730516659 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.
6673 GERMANTOWN AVE, Philadelphia, PA 19119

Other Names 1

Doing Business AsMt. Airy Pediatrics, Pc

Other Identifiers 5

Other000465921PA · Blue Shield/high Mark
Other1026452PA · Keystone Mercy
Other0055732001PA · Independence Blue Cross
Other1781620PA · United Healthcare
Other6524PA · Aetna

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 39D0672730

Mt Airy Pediatrics · Philadelphia, PA
Active · expires Aug 31, 2026
CLIA Number39D0672730
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Marcie E. Macolino
Laboratory Phone(215) 247-2996
Laboratory LocationMt Airy Pediatrics6673 Germantown Ave, Philadelphia, PA 19119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
6673 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Pediatrics
6673 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Nurse Practitioner (Pediatrics)
6673 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Pediatrics
6673 GERMANTOWN AVE
PHILADELPHIA, PA 19119

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 Mt. Airy Pediatrics, P.C.'s NPI number?

The NPI number for Mt. Airy Pediatrics, P.C. is 1730516659. It was assigned to this organization in the NPPES registry on October 9, 2013. The provider is doing business as Mt. Airy Pediatrics, PC.

Where is Mt. Airy Pediatrics, P.C. located?

Mt. Airy Pediatrics, P.C. is located at 6673 Germantown Ave, Philadelphia, PA 19119. The listed phone number is (215) 247-2996.

What is Mt. Airy Pediatrics, P.C.'s specialty?

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

Does Mt. Airy Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0672730) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mt. Airy Pediatrics, P.C. was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.