MEDICARE: DR. JONATHAN DAVID HEILICZER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0210X	Pediatric Nephrology Physician	MD426008	PA
2	2080P0210X	Pediatric Nephrology Physician	25MA03488100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265480248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN DAVID HEILICZER M.D.

Provider Business Mailing Address
First Line	:	ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Second Line	:	ERIE AVENUE AT FRONT STREET
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1095
Country	:	US
Telephone Number	:	215-427-5190
Fax Number	:

Provider Business Practice Location Address
First Line	:	ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Second Line	:	ERIE AVENUE AT FRONT STREET
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1095
Country	:	US
Telephone Number	:	215-427-5190
Fax Number	:	215-427-5351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457349359 — IRAJ REZVANI MD
Practice Location Address:

ERIE AVE AT FRONT ST , SCPA ENDOCRINOLOGY
PHILADELPHIA, PA
19134-1095

Practice Phone: 215-427-8822
Practice Fax: 215-427-8830

1205800505 — MISS JENNIFER M BABIA-ESPIRITU CRNA
Practice Location Address:

3601 NORTH FRONT STREET
PHILADELPHIA, PA
19134-1095

Practice Phone: 856-662-7046
Practice Fax:

1831147826 — DR. FRANK EDWARD SHAFER M.D.
Practice Location Address:

3601 A STREET , SECT OF HEMTOLOGY, ST. CHRISTOPHER'S HOSP FOR CHILDREN
PHILADELPHIA, PA
19134-1095

Practice Phone: 215-427-5096
Practice Fax: 215-427-6684

1457309080 — MARSHALL Z SCHWARTZ M.D.
Practice Location Address:

ERIE AVE AT FRONT STREET
PHILADELPHIA, PA
19134-1095

Practice Phone: 215-427-4956
Practice Fax: 215-427-4616

1053360560 — DR. MARSHALL LEWIS JACOBS M.D.
Practice Location Address:

FRONT STREET AND ERIE AVENUE
PHILADELPHIA, PA
19134-1095

Practice Phone: 215-429-5109
Practice Fax: 215-427-3860

1750331278 — SHARON CALAMAN M.D.
Practice Location Address:

ST.CHRISTOPHERS HOSPITAL FOR CHILDREN , ERIE AVE AT FRONT STREET
PHILADELPHIA, PA
19134-1095

Practice Phone: 215-427-5220
Practice Fax: 215-427-4339

Directions to “ DR. JONATHAN DAVID HEILICZER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.