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STANFORD PEDIATRIC SURGERY, LLC
NPI 1922524123
Surgery - Pediatric Surgery in Jenkintown, PA

Active since August 18, 2017
419 JOHNSON ST, JENKINTOWN, PA 19046(215) 792-2058(215) 754-4295 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

About Stanford Pediatric Surgery, Llc NPPES

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

STANFORD PEDIATRIC SURGERY, LLC (NPI 1922524123) is a healthcare organization registered as a pediatric surgery in Jenkintown, Pennsylvania and active in the NPI registry since August 2017. The organization lists Ala Stanford, Founder/director, as its authorized official.

NPPES Registry Identity

NPI1922524123
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameSTANFORD PEDIATRIC SURGERY, LLC
Location Address419 JOHNSON STJenkintown, PA 19046-2705
Mailing AddressArchways Professional Building, 419 Johnson StreetJenkintown, PA 19046-2705 · (215) 792-2058 · Fax (215) 754-4295
Phone(215) 792-2058
Fax(215) 754-4295
Organization SubpartNo
Authorized OfficialAla StanfordFounder/director · (215) 817-8683
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1922524123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in PA · MD419738
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License MD419738 (PA)
419 JOHNSON ST, Jenkintown, PA 19046
Open in Google Maps ↗

Other Identifiers 1

Other1750394037PA · Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

R E A L CONCIERGE MEDICINE CO
Internal Medicine
419 JOHNSON ST
JENKINTOWN, PA 19046
Montgomery County (215) 277-5450

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 Stanford Pediatric Surgery, LLC's NPI number?

The NPI number for Stanford Pediatric Surgery, LLC is 1922524123. It was assigned to this organization in the NPPES registry on August 18, 2017.

Where is Stanford Pediatric Surgery, LLC located?

Stanford Pediatric Surgery, LLC is located at 419 Johnson St, Jenkintown, PA 19046. The listed phone number is (215) 792-2058.

What is Stanford Pediatric Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Stanford Pediatric Surgery, LLC was last updated on July 21, 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.