Beverley Maria Anne Zuccarello, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA057210 Issued in PA

Practice address

3401 N Broad St
Philadelphia, PA 19140-5103

Phone

(215) 707-9900

Fax

(215) 707-3831

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Eaglebell PLLC

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1184319451
  Medicare reassignment
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308
  Medicare reassignment
• Pennsylvania Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment
• Spuc, LLC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1518387562
  Medicare reassignment
• Temple Faculty Practice Plan Inc

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment
• Temple Faculty Practice Plan, Inc

  • Optometrist
  • Philadelphia, PA
  • NPI 1972086627
  NPD
• University of Penn-Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Philadelphia, PA
  • NPI 1700274727
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Temple Faculty Practice Plan Inc

  • Urology Physician
  • Voorhees, NJ
  • NPI 1407638794
  NPD
• My Home Doctor, LLC

  • Attendant Care Provider
  • Coral Gables, FL
  • NPI 1902099104
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1336542802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-9900",
            "fax_number": "215-707-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-9900",
            "fax_number": "215-707-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCARELLO",
        "first_name": "BEVERLEY",
        "middle_name": "MARIA ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Norman Zubkoff, M.D.
• Sarah Zubkov, M.D.
• Emily Michelle Zubriski
• Alan Bruce Zubrow, M.D.
• Jacqueline Zuccarelli, OTR/L
• Daria Lajoie Zucchi, DPM,MBS
• Giulio Zuccoli, M.D.
• Dylan Zuch
• Adam Zucker, DDS
• Allison Zuckerberg, MD

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.