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EMMA JANE BONHAM GERSTENZANG MD
NPI 1972125680
Pediatrics in Philadelphia, PA

Active since May 15, 2020PECOS Enrolled
3401 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2024, Jan 9, 2023, May 15, 2020 (3 updates tracked since 2020).

About Emma Jane Bonham Gerstenzang Md NPPES

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

EMMA JANE BONHAM GERSTENZANG MD (NPI 1972125680) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480787) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972125680
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEMMA JANE BONHAM GERSTENZANGCredential: MD
Location Address3401 CIVIC CENTER BOULEVARDPhiladelphia, PA 19104
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (347) 277-8689
Phone(215) 590-1220
Sole ProprietorNo
Enumeration DateMay 15, 2020
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1972125680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD480787✔ Licensed in PA · MT220147
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.
3401 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104
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Other Names 1

Former Name (1)Emma Jane Bonham Hackel Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Jane Bonham Gerstenzang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emma Gerstenzang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care Associates, Inc
Same address
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JULIANNE MCGLYNN
Pediatrics
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
ALEXIS ARMSTRONG CRNA
Nurse Anesthetist, Certified Registered
3401 CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
ANAND SHRIPAD BHAGWAT MD, PHD
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
HEATHER BOSTANCIC CRNA
Nurse Anesthetist, Certified Registered
3401 CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
ANA LUIZA CAVANA ALTAFFER MD
Pediatrics
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
NADIR YEHYA MD
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
NAKUL SHETH M.D.
Radiology (Neuroradiology)
3401 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
JESSICA PERFETTO MD
Pediatrics (Pediatric Rheumatology)
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55
PHILADEPHIA, PA 19104
Philadelphia County (215) 590-1220

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 Emma Gerstenzang's NPI number?

The NPI number for Emma Gerstenzang is 1972125680. It was assigned to this individual provider in the NPPES registry on May 15, 2020. The provider is also known as Emma Jane Bonham Hackel MD.

Where is Emma Gerstenzang located?

Emma Gerstenzang practices at 3401 Civic Center Boulevard, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Emma Gerstenzang's specialty?

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

Is Emma Gerstenzang enrolled in Medicare?

Yes. Emma Gerstenzang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emma Gerstenzang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Gerstenzang reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Gerstenzang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emma Gerstenzang was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.