DR. MARYJANE FEDORCZYK (NPI# 1992938096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992938096 |
| Entity Type | Individual |
| Full Name | DR. MARYJANE FEDORCZYK |
| Other Name | JANE FEDORCZYK |
| Credential | PT. PHD, CHT, ATC |
| Practice Address |
245 N 15th St Mail Stop 502 Philadelphia PA 19102-1101 |
| Practice Telephone | 2157624680 |
| Mailing Telephone | 2157624680 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
40QA00546800 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251H1200X |
Physical Therapist Specialization: Hand |
PT006083L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
245 N 15TH ST MAIL STOP 502 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956137 | Sarah Brook Wenger | Physical Therapist | 245 N 15th St, Ms 502, Philadelphia, PA 19102-1101 | 2005-07-14 |
| 1215598396 | Randa Abbas Elsiddig Dafalla | Pathology | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-27 |
| 1821659384 | Mojisola Olufunmilayo Popoola | Pathology | 245 N 15th St, Philadelphia, PA 19102-1198 | 2019-06-25 |
| 1447811955 | Michael Anthony Kritselis | Pathology | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1053972729 | Christopher Scott Bodden | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-24 |
| 1326609264 | Jakub Halicki | Internal Medicine | 245 N 15th St, Philadelphia, PA 19102-1198 | 2019-06-21 |
| 1275192718 | Vittorio Romeo Terrigno | Internal Medicine | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-09 |
| 1114586732 | Arthur Hongbin Kim | Surgery | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-07 |
| 1568957595 | Caleb Richard Schatz Mcentire | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2018-06-22 |
| 1093209157 | Christopher Stout | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 2251H1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689711616 | The Philadelphia Hand Center, PC | Physical Therapist | 834 Chestnut St, Suite G114, Philadelphia, PA 19107-5127 | 2007-01-31 |
| 1558376434 | Kraig Y Bano | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190097 | Andrea Marie White | Physical Therapist | 501 W. Macdade Blvd, 2nd Floor, Folsom, PA 19033-3224 | 2006-06-08 |
| 1518968973 | Laura Brovender-fisher | Physical Therapist | 500 Welsh Rd, Huntingdon Valley, PA 19006-6427 | 2005-08-09 |
| 1710178215 | Pjb Therapy Services LLC | Physical Therapist | 1145 Bower Hill Rd, Suite 203, Pittsburgh, PA 15243-1342 | 2007-08-08 |
| 1639397706 | Jill K. Townsend | Physical Therapist | 915 Old Fern Hill Rd, Suite 4, West Chester, PA 19380-4269 | 2007-04-23 |
| 1427124320 | Elaine F. Barch | Physical Therapist | 101 Regent Ct, State College, PA 16801-7965 | 2006-11-24 |
| 1326146226 | Main Line Hand Center LLC | Physical Therapist | 250 W Lancaster Ave, Suite 205, Paoli, PA 19301-1743 | 2006-09-21 |
| 1609985001 | Deborah A Humbert | Physical Therapist | 1068 W Baltimore Pike, Lobby Level, Media, PA 19063-5104 | 2006-08-30 |
| 1912916057 | Jyoti Raju Naidu | Physical Therapist | 235 W Lancaster Ave, Suite 100, Devon, PA 19333-1560 | 2006-08-07 |
| 1316969348 | Kimberly L Smith | Physical Therapist | 102 W Walnut St, North Wales, PA 19454-3319 | 2006-07-25 |
| 1770533754 | Carla A Crosby | Physical Therapist | 101 S Bryn Mawr Ave, Suite 300, Bryn Mawr, PA 19010-3120 | 2006-05-11 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.