M&M Surgical Center PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

115913 Issued in PA

Legal business name

M&M SURGICAL CENTER PC

Practice address

1 Crescent Dr. Suite 300
Philadelphia, PA 19112

Phone

(215) 389-3161

NPI assigned

Sep 5, 2017

Last updated

Sep 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anita Milici, DMDNPI 1508080813

Title

Medical Director

Phone

(215) 389-3161

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita Marie Milici, D.M.D.

  • Periodontics
  • Philadelphia, PA
  • NPI 1508080813
  Authorized official Same address or phone

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1265950802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR. SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR. SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19112",
            "telephone_number": "215-389-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "MILICI",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-389-3161",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "115913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M-I-H Home Care LLC (Miracle Ivy Hill Home Care Agency)
• M. Curie Pharmacy, LLC
• M.R. Johnson Therapy LLC
• M.R.Q. Associates
• Mirna E M'Farrej, M.D.
• M&R Medical Group
• Ma Operating LLC (Maplewood Nursing and Rehabilitation Center)
• Angela Ma
• Crystal Ma, CRNP
• Haoqin Ma, MD

• Ambulatory Surgical Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.