Individual provider Active NPI

Leigh Ann Rola, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1033444518
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054071 Issued in PA
Practice address
3550 Market St
2ND Floor - Pediatric Dermatology
Philadelphia, PA 19104-3329
Phone
(215) 590-2169
Fax
(215) 590-4948
NPI assigned
Oct 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054071 PA Primary

Addresses

Primary practice location

3550 Market St
2ND Floor - Pediatric Dermatology
Philadelphia, PA 19104-3329

Mailing address

3550 Market St
2ND Floor - Pediatric Dermatology
Philadelphia, PA 19104-3329
Phone (215) 590-2169

Other names 1

  • Leigh Ann Mailman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211006002737 NJ Practitioner - Physician Assistant 6608201009 Reassigns benefits to 1 organization
I20211116002956 PA Practitioner - Physician Assistant 6608201009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates, Inc CurrentSince Nov 16, 2019 Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince Jul 1, 2021 Accepting new patients
Childen'S Health Care Associates Inc. CurrentSince Nov 16, 2019 Accepting new patients
Children'S Healthcare Associates of New Jersey PC CurrentSince Jul 1, 2021 Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients

Locations

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

3500 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-2169

3550 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 590-9119

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

Organizations & group practices 6

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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1033444518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MARKET ST",
            "address_2": "2ND FLOOR - PEDIATRIC DERMATOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043329",
            "telephone_number": "215-590-2169",
            "fax_number": "215-590-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MARKET ST",
            "address_2": "2ND FLOOR - PEDIATRIC DERMATOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043329",
            "telephone_number": "215-590-2169",
            "fax_number": "215-590-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLA",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "MAILMAN",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.