Active NPI
Max Anglea Zawel
- Student in an Organized Health Care Education/Training Program
- University Park, PA
National Provider Identifier
1265052740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- S87725500
- Practice address
- 140 Recreation BLDG
University Park, PA 16802-5700 - Phone
- (857) 265-8333
- NPI assigned
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | S87725500 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | S87725500 | MA | Primary |
Addresses
Primary practice location
140 Recreation BLDG
University Park, PA 16802-5700
Mailing address
140 Recreation BLDG
University Park, PA 16802-5700
Phone (857) 265-8333
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S87725500 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1265052740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 RECREATION BLDG",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168025700",
"telephone_number": "857-265-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 RECREATION BLDG",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "168025700",
"telephone_number": "857-265-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAWEL",
"first_name": "MAX",
"middle_name": "ANGLEA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "S87725500",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "S87725500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.