DR. MUSTAFA A BADI (NPI# 1073074365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073074365 |
| Entity Type | Individual |
| Full Name | DR. MUSTAFA A BADI |
| Credential | DMD MS |
| Practice Address |
3223 N Broad St Philadelphia PA 19140-5007 |
| Mailing Address |
309 Olympic Ave Havertown PA 19083-5103 |
| Practice Telephone | 2157078869 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS041592 | PA | Dental Providers |
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
DS041592 | PA | Dental Providers |
| Street Address |
3223 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581959 | Dione J Cash | Pediatrics | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2005-10-12 |
| 1992313357 | Amir Maki | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-21 |
| 1386252070 | Maria Jun | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
| 1407464423 | Ping Wang | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-15 |
| 1104450535 | Vladimir Flys | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-02-25 |
| 1366090094 | Nicholas Bizzaro | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-08-27 |
| 1619537743 | Thomas Adel | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-20 |
| 1972163897 | Divya Trikannad | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-06-13 |
| 1588221717 | Joseph Leonard Mustazza | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-22 |
| 1790341048 | Gregory Ramirez | Student in an Organized Health Care Education/Training Program | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720381353 | Jie Yang | Dentist | 317 Wild Prairie Ct, Maple Glen, PA 19002-1125 | 2010-12-21 |
| 1447388590 | Oral and Maxillo-facial Surgery, Inc. | Dentist | 432 Rolling Ridge Drive, Suite 2, State College, PA 16801 | 2007-03-01 |
| 1891006060 | Anitha Potluri | Dentist | 3501 Terrace Street, Suite 3189, Pittsburgh, PA 15261 | 2010-06-23 |
| 1568641991 | Lawrence G Schneider | Dentist | 3501 Terrace St, G127, Pittsburgh, PA 15261-0001 | 2007-11-02 |
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on DR. MUSTAFA A BADI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.