Individual provider Active NPI

Ewa Fabiszewska, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1013946771
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD051811L Issued in PA
Practice address
7927 Fairfield St
Philadelphia, PA 19152-3406
Phone
(610) 299-5959
Fax
(267) 343-8433
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD051811L PA Primary

Addresses

Primary practice location

7927 Fairfield St
Philadelphia, PA 19152-3406

Mailing address

7927 Fairfield St
Philadelphia, PA 19152-3406
Phone (610) 299-5959

Other identifiers 1

IdentifierTypeStateIssuer
0072863020002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000068 PA Practitioner - Internal Medicine 9537150776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr John Trzesniowski LLCGroup PAC ID 4880811918, 3 clinicians

Practice addresses (Care Compare)

2716 E Allegheny Ave
Phila, PA 19134-5916
Phone (215) 426-3610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051811LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pma Medical Specialists Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1013946771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 FAIRFIELD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523406",
            "telephone_number": "610-299-5959",
            "fax_number": "267-343-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 FAIRFIELD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523406",
            "telephone_number": "610-299-5959",
            "fax_number": "267-343-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABISZEWSKA",
        "first_name": "EWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD051811L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072863020002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.