Active NPI
Mae Helen Caleb, M.D.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1023070240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD036970L
- Practice address
- 5800 Ridge Ave
Philadelphia, PA 19128 - Phone
- (215) 487-4334
- Fax
- (610) 891-3680
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD036970L | PA | Primary |
Addresses
Primary practice location
5800 Ridge Ave
Philadelphia, PA 19128
Mailing address
P.O. Box 5020
Toms River, NJ 08754-5020
Phone (800) 528-0006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1219447 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036970L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Internal Medicine | Past | Accepting new patients |
| Express Med of King of Prussia LLC | Past | Accepting new patients | |
| Roxborough Emergency Physician Associates, LLC | Past | Accepting new patients | |
| North Philadelphia Health System | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- King of Prussia, PA
- NPI 1710227293
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1376799981
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1538250477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1023070240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5020",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087545020",
"telephone_number": "800-528-0006",
"fax_number": "732-349-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19128",
"telephone_number": "215-487-4334",
"fax_number": "610-891-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALEB",
"first_name": "MAE",
"middle_name": "HELEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD036970L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1219447",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.