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

St Chris Care at Northeast Pediatrics, LLC

Organization Pediatrics Physician · NPI 1043379506

St Chris Care at Northeast Pediatrics, LLC provides Pediatrics Physician services in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9501 Roosevelt Blvd Ste 410
Philadelphia, PA 19114-1029 Not confirmed with CMS for 12 years — call before visiting
Phone: (214) 969-4917
Fax: (215) 969-5875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1043379506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wesley James — Regional Cfo, Tenet · (404) 265-5009
NPI enumeratedDecember 8, 2006
Last updated in NPPESJune 26, 2014
Mailing addressPo Box 822502, Philadelphia, PA 19182-1029

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