DR. MARIA PROZOROV BERGEL


Address: 160 E Erie Ave, Philadelphia, PA 19134-1011
Phone: 2154278818

DR. MARIA PROZOROV BERGEL (NPI# 1982966388) 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) 1982966388
Entity Type Individual
Full Name DR. MARIA PROZOROV BERGEL
Credential M.D.
Practice Address 160 E Erie Ave
Philadelphia
PA 19134-1011
Mailing Address 1930 Spring Garden St
3r
Philadelphia
PA 19130-3860
Practice Telephone 2154278818
Mailing Telephone 2672552416
Enumeration Date 2012-06-12
Last Update Date 2018-12-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD454975 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1930 Spring Garden St, 3r, Philadelphia, PA 191303860 2672552416

Office Location

Street Address 160 E ERIE AVE
City PHILADELPHIA
State PA
Zip Code 19134-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114919040 Gabriel Hauser Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2005-08-17
1932700150 Alexandria Nicole Torrisi Physician Assistant 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-11-04
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05
1760009450 Cassandra Anne Pantano Nurse Practitioner 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-29
1366068488 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-24
1992326789 Kerby Zeisloft Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-03
1467073353 Neil Himanshu Patel Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-01
1629699665 Rose B Bayer Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
1972124931 Neha Jadhav Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1700371978 Kristi Ford Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093039893 Charlotte Zahara Woods-hill Pediatrics 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 2010-03-23
1790910339 Amir Bar Pediatrics 160 E. Erie Ave, Philadelphia, PA 19134 2009-05-27
1528149150 Arun Chopra Pediatrics Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2006-10-18
1750331278 Sharon Calaman Pediatrics St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 2006-05-12
1699739599 Paul Michael Shore Pediatrics 3601 A Street, Philadelphia, PA 19134 2006-04-17
1639142086 Robert A Berg Pediatrics 324 S. 34th Street, Suite 9329, Philadelphia, PA 19104-4399 2006-02-08
1114919040 Gabriel Hauser Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2005-08-17
1083232557 Riane Goodwin Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-07-10
1518501733 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-31
1750944500 Natalie Horvatinovic Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2019-04-17
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Competitor

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City PHILADELPHIA
Zip Code 19134

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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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