STANFORD PEDIATRIC SURGERY, LLC
STANFORD PEDIATRIC SURGERY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1922524123, based in Jenkintown, PA. The organization lists 2 taxonomy classifications, with Pediatric Surgery Physician recorded as primary.
Getting there
The practice address on file is 419 JOHNSON ST, Jenkintown, PA 19046. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD419738 | PA | Pediatric Surgery Physician primary |
| MD419738 | PA | Surgery Physician |
This provider holds licence MD419738 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatric Surgery covers
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 2086S0120X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0120X | Pediatric Surgery Physician Pediatric Surgery | MD419738 | PA | primary |
| 208600000X | Surgery Physician | MD419738 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1922524123 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 18, 2017 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
419 JOHNSON ST Jenkintown, PA 19046 (215) 792-2058 Fax (215) 754-4295 |
| Mailing address |
ARCHWAYS PROFESSIONAL BUILDING 419 JOHNSON STREET Jenkintown, PA 19046 |
| Other identifiers |
1750394037
· Other (PA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 2 | 2 | 5 | 2 | 4 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 4 | 2 | 1 | 2 | 8 | 1 | 4 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.