Mark Anthony Oswald, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD429813 Issued in PA

Practice address

330 W Oregon Ave Ste 170
Philadelphia, PA 19148-4748

Phone

(267) 338-3411

Fax

(267) 780-7332

NPI assigned

Jul 11, 2005

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dedicated Pennsylvania Holding LLCGroup PAC ID 4688935653, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Dedicated Pennsylvania Holding, LLC

  dba Dedicated Pennsylvania Mayfair

  • Specialist
  • Philadelphia, PA
  • NPI 1477053569
  Medicare reassignment Care Compare group NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  Family Medicine

  Medicare reassignment NPD
• Project H.O.P.E., Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1891969218
  Medicare reassignment NPD
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1366950776
  NPD
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1841707965

  Family Medicine

  NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)
• Spectrum Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1881629012
  NPD (past)
• Spectrum Health Services, Inc.

  dba Spectrum Health Rx

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1164300901
  NPD (past)
• Lekana Inpatient Services

  • Internal Medicine Physician
  • Voorhees, NJ
  • NPI 1992834469
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1215935655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W OREGON AVE STE 170",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484748",
            "telephone_number": "267-338-3411",
            "fax_number": "267-780-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W OREGON AVE STE 170",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484748",
            "telephone_number": "267-338-3411",
            "fax_number": "267-780-7332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 - 525 WEST STREET",
            "address_purpose": "LOCATION",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081030810",
            "country_code": "US",
            "telephone_number": "856-968-2320",
            "fax_number": "856-968-2317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Cottage Ave",
            "address_purpose": "LOCATION",
            "city": "Haddonfield",
            "state": "NJ",
            "postal_code": "080331824",
            "country_code": "US",
            "telephone_number": "856-625-3737",
            "fax_number": "856-429-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD429813",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD037652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07862200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117072",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Lawrence Osullivan, PHD CRNP FAAN
• Sarah K Osullivan, DMD
• Ozichi Christiana Osuoha, MD
• Jacquelyn Lauren Oswald
• Margaret Helmer Oswald, DC
• Alexandra Lee Oszustowicz, OD
• Kaede Ota, M.D.
• Emmanuel Olushola Otabor, MBBS
• Teona Otarashvili, DMD
• Oghenetega Oteri, MA

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.