MS. MARY MALISA MATHEW


Address: 123 Kingfield Rd, Philadelphia, PA 19115-4024
Phone: 2674415817

MS. MARY MALISA MATHEW (NPI# 1669922647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669922647
Entity Type Individual
Full Name MS. MARY MALISA MATHEW
Practice Address 123 Kingfield Rd
Philadelphia
PA 19115-4024
Practice Telephone 2674415817
Mailing Telephone 2674415817
Enumeration Date 2016-10-13
Last Update Date 2016-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MARY MATHEW

NPI Name Taxonomy Address Enumeration
1447621263 Mary Mathew Nurse Practitioner 643 Shamrock Ln, Feasterville Trevose, PA 19053-3527 2015-10-20
1790727501 Mary Ann Mathew Physical Therapist 740 S Washington St, Chillicothe, MO 64601-3042 2006-06-13
1487279543 Mary Mathew Student in an Organized Health Care Education/Training Program 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 2020-06-14
1184025330 Mary Mathew Physical Therapist 7544 Jacque Rd, Hudson, FL 34667-7162 2014-09-08
1780967182 Mary Nms Mathew Marriage & Family Therapist 1721 Griffin Ave, Los Angeles, CA 90031 2011-09-21
1609027812 Mary Mathew Pharmacist 140 Old Orangeburg Rd, Rockland Psychiatric Ctr, Orangeburg, NY 10962-1157 2008-10-07
1740217504 Mary L Mathew Internal Medicine 1561 Long Pond Rd, Suite 206, Rochester, NY 14626-4117 2006-06-27
1306886577 Mary Mathew Pediatrics 925 S Black Horse Pike, Williamstown, NJ 08094-1900 2006-06-07
1588617864 Mary Cyriac Mathew Anesthesiology 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 2006-05-18

Office Location

Street Address 123 KINGFIELD RD
City PHILADELPHIA
State PA
Zip Code 19115-4024

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442696 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 2044 Red Lion Road, Philadelphia, PA 19115 2020-09-21
1639717762 Cassondra Ondeck Physical Therapist Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 2019-12-19
1740747641 Comfort Ride Transit Inc Non-emergency Medical Transport (VAN) 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 2019-02-27
1386101400 Ashley Thomas Physician Assistant 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 2019-02-25
1659857027 Kiesha Anita Abney Occupational Therapy Assistant Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 2018-07-18
1457844870 Philadelphia Discount Pharmacy LLC Pharmacist 842 Red Lion Road Unit 13, Philadephia, PA 19115 2018-06-11
1770001828 Ciarra Bell Occupational Therapist 828 Red Lion Rd, Philadelphia, PA 19115 2017-09-08
1245604008 Saria Ibrahim Counselor 9651 Clark Street, Philadelphia, PA 19115 2015-11-17
1124413166 Global Dental Plus LLC Dentist 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 2015-04-06
1932510161 Miriam John Occupational Therapist 9997 Sandy Road, Philadelphia, PA 19115 2014-05-09
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1891395828 Roopali Mahajan Student in an Organized Health Care Education/Training Program 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 2020-10-28
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1477166056 Tiffany Shanay Canady Student in an Organized Health Care Education/Training Program 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 2020-08-25
1093325599 Taylor Ann Hall Student in an Organized Health Care Education/Training Program 403 E Evergreen Ave, Philadelphia, PA 19118-2826 2020-08-09
1093324766 Alex J Rodriguez Student in an Organized Health Care Education/Training Program 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 2020-07-28
1396361796 Hagar Mahmoud Student in an Organized Health Care Education/Training Program 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 2020-06-22
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1386266138 Ogan Kumova Student in an Organized Health Care Education/Training Program 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 2020-05-15
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19115

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Dataset Information

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.

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