Active NPI
Marina Spitkovskaya
- Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1063879328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP014926
- Practice address
- 3401 Market St
Suite 105B
Philadelphia, PA 19104-3318 - Phone
- (215) 220-4700
- NPI assigned
- Jan 18, 2016
- Last updated
- Sep 6, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP014926 | PA | Primary |
Addresses
Primary practice location
3401 Market St
Suite 105B
Philadelphia, PA 19104-3318
Mailing address
1601 Cherry St Ste 11511
Suite 105B
Philadelphia, PA 19102-1310
Phone (215) 255-7822
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1063879328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST STE 11511",
"address_2": "SUITE 105B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021310",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 MARKET ST",
"address_2": "SUITE 105B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043318",
"telephone_number": "215-220-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITKOVSKAYA",
"first_name": "MARINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-18",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP014926",
"primary": true
}
],
"identifiers": [],
"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 Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.