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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
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 |
Street Address |
123 KINGFIELD RD |
City | PHILADELPHIA |
State | PA |
Zip Code | 19115-4024 |
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 |
Find all providers in zip 19115 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
City | PHILADELPHIA |
Zip Code | 19115 |
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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.