Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric & Preventive Medicine Assoc PC

Organization Pediatrics Physician · NPI 1447311576

Pediatric & Preventive Medicine Assoc PC provides Pediatrics Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4035 Powelton Ave
Philadelphia, PA 19104-2262 Not confirmed with CMS for 10 years — call before visiting
Phone: (215) 471-7000
Fax: (215) 474-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD039729L (PA)

Record details

NPI number1447311576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Drain — President Owner · (215) 227-3300
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 11, 2016
Mailing address3847 North Sydenham Street, Philadelphia, PA 19140

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