Active NPI
Mary Rachel Faris
- Hematology & Oncology Physician
- Abington, PA
National Provider Identifier
1104858091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD055169L
- Practice address
- 1200 Old York Rd
Abington Cancer Care Specialists
Abington, PA 19001-3720 - Phone
- (215) 481-2400
- Fax
- (215) 481-7438
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD055169L | PA | Primary |
Addresses
Primary practice location
1200 Old York Rd
Abington Cancer Care Specialists
Abington, PA 19001-3720
Mailing address
1200 Old York Rd
Abington Cancer Care Specialists
Abington, PA 19001-3720
Phone (215) 481-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001722234 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1104858091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"address_2": "ABINGTON CANCER CARE SPECIALISTS",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720",
"telephone_number": "215-481-2400",
"fax_number": "215-481-7438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"address_2": "ABINGTON CANCER CARE SPECIALISTS",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720",
"telephone_number": "215-481-2400",
"fax_number": "215-481-7438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIS",
"first_name": "MARY",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD055169L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001722234",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.