Active NPI
Shalom Mazaki-Tovi, M.D.
- Obstetrics Physician
- West Bloomfield, MI
National Provider Identifier
1285888347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 4301088582
- Practice address
- 5858 Fineway CT
West Bloomfield, MI 48322-1383 - Phone
- (248) 419-0885
- NPI assigned
- Nov 15, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 4301088582 | MI | Primary |
Addresses
Primary practice location
5858 Fineway CT
West Bloomfield, MI 48322-1383
Mailing address
5858 Fineway CT
West Bloomfield, MI 48322-1383
Phone (248) 419-0885
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088582 | MI | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226707200000",
"number": "1285888347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5858 FINEWAY CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221383",
"telephone_number": "248-419-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5858 FINEWAY CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221383",
"telephone_number": "248-419-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZAKI-TOVI",
"first_name": "SHALOM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-15",
"last_updated": "2008-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MI",
"license": "4301088582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.