OrganizationActive
Stc Pediatrics LLC
NPI 1417591637 · Pediatric Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1417591637
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Valentino, Vp of Revenue Integrity(484) 628-9380
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5292
Street-level locationGet directions
Mailing address
Po Box 13579
Reading, PA 19612-3579
Other names (DBA / former)
- Doing business as
- St. Christopher'S Pediatric Associates General Surgery - E. Erie Ave
- Doing business as
- St. Christopher'S Pediatric Associates General Surgery - E. Erie Ave
Registry dates
- Enumerated
- 2019-10-31
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.