Marcie E Macolino, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD057889L Issued in PA

Practice address

7056 Germantown Ave
Philadelphia, PA 19119-1826

Phone

(215) 247-2996

Fax

(215) 247-7504

NPI assigned

Jul 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2655/brand/1/csg/1/fhir/r4
• Direct secure messaging: marcie.macolino.1@2655.direct.athenahealth.com

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.

• Mt. Airy Pediatrics, P.C.

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1730516659
  NPD
• Advocare , LLC

  dba Advocare Mt. Airy Pediatrics

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1295688448
  NPD (past)
• Mt Airy Pediatrics, LLP

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1790727295
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346240116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191826",
            "telephone_number": "215-247-2996",
            "fax_number": "215-247-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191826",
            "telephone_number": "215-247-2996",
            "fax_number": "215-247-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOLINO",
        "first_name": "MARCIE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD057889L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "582735",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEY MERCY PROVIDER ID",
            "identifier": "1090409",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PROVIDER NUMBER",
            "identifier": "0055732001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "01600250",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen R Macmurtrie, CRNP
• Kurt Thomas Macnair, PT, DPT
• Luciana Macnamara, PSYD
• Kenneth Macneal
• Alexander Stone Macnow, M.D.
• Barbara Louise Macon
• Mary K Macon, PA-C
• Kara Leigh Macool, MS, LPC, LBS
• Laurie Ann Macphail, D.M.D.
• Nicholas P Macri, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.