MEDICARE: CHILDRENS HEALTH CARE ASSOCIATES, INC

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	2080A0000X	Pediatric Adolescent Medicine Physician

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689769705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDRENS HEALTH CARE ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	2929 ARCH ST FL 12
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2857
Country	:	US
Telephone Number	:	267-425-9535
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 CIVIC CENTER BLVD
Second Line	:	CHILDREN'S HOSPITAL OF PHILADELPHIA
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4319
Country	:	US
Telephone Number	:	215-590-1000
Fax Number	:	267-425-9200

Authorized Official
Title or Position	:	SR. MANAGER
Name	:	YASMEN MOHAMMAD
Credential	:
Telephone Number	:	267-425-9535

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/26/2026

Similar Medicare Providers

1861323461 — ALEC HEIDLAUF MD
Practice Location Address:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1220
Practice Fax:

1487117479 — DR. MIKE EDSON CHARLES MD
Practice Location Address:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
19104-4319

Practice Phone: 856-803-7907
Practice Fax:

1598869059 — CHILDRENS HEALTH CARE ASSOCIATES, INC
Practice Location Address:

3401 CIVIC CENTER BLVD , CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1000
Practice Fax: 267-425-9233

1720173776 — CHILDRENS HEALTH CARE ASSOCIATES, INC
Practice Location Address:

3401 CIVIC CENTER BLVD , CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1000
Practice Fax: 267-425-9299

1639264682 — CHILDRENS HEALTH CARE ASSOCIATES, INC
Practice Location Address:

3401 CIVIC CENTER BLVD , CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1000
Practice Fax: 267-425-9299

1184719130 — CHILDRENS HEALTH CARE ASSOCIATES, INC
Practice Location Address:

3401 CIVIC CENTER BLVD , CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1000
Practice Fax: 267-425-9299

Directions to “CHILDRENS HEALTH CARE ASSOCIATES, INC ” 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.