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	2080P0201X	Pediatric Allergy/Immunology 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	:	1720173776
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	:	CHILDREN'S HEALTHCARE ASSOCIATES
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	:	267-425-9299

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

1790097061 — JUHEE LEE MD
Practice Location Address:

3401 CIVIC CENTER BLVD , CHCA ALLERGY AND IMMUNOLOGY
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1000
Practice Fax:

1275832826 — DR. SARAH EMILY HENRICKSON M.D. PH.D.
Practice Location Address:

3401 CIVIC CENTER BLVD , 3550 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-2549
Practice Fax: 215-590-4259

1366836926 — DR. ELISA OCHFELD M.D.
Practice Location Address:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1000
Practice Fax:

1528529914 — TALIA IZETTE ARCERI MD
Practice Location Address:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-1997
Practice Fax:

1841827490 — SAMANTHA LEONG MD, PHD
Practice Location Address:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-2549
Practice Fax:

1366071193 — LATOYA JEANPIERRE MD
Practice Location Address:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-2549
Practice Fax:

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.