Individual provider Active NPI

Marisa Gefen, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1386846806
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD439866 Issued in PA
Practice address
37 S 40TH St
Philadelphia, PA 19104-3042
Phone
(215) 444-7470
Fax
(215) 764-6556
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD439866 PA Primary

Addresses

Primary practice location

37 S 40TH St
Philadelphia, PA 19104-3042

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

1113 Carlisle Rd
York, PA 17404-4939
Phone (717) 200-1567

Other names 1

  • Dr. Marisa Bashkin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110404000174 PA Practitioner - Internal Medicine 7618151465 Reassigns benefits to 2 organizations
I20241118004110 NY Practitioner - Internal Medicine 7618151465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (312) 600-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD439866PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of New York Medical Group PC Internal Medicine CurrentSince Oct 30, 2024 Accepting new patients
Osh - PA Physicians Group, PC Internal Medicine CurrentSince Oct 10, 2018 Accepting new patients
Ninth Street Internal Medicine Associates LTD Internal Medicine CurrentSince Nov 20, 2010 Accepting new patients
Ahpaffs,LLC CurrentSince Jun 4, 2021 Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine PastSince May 1, 2020 Accepting new patients
Osh - Ri Physicians Group, PC Internal Medicine PastSince May 1, 2020 Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

37 S 40th St
Philadelphia, PA 19104
Phone (215) 444-7470

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

2401 W Cheltenham Ave
Wyncote, PA 19095
Phone (215) 444-7471

1113 Carlisle Rd
York, PA 17404
Phone (717) 200-1567

601 Taylor St
Nashville, TN 37208
Phone (615) 556-5908

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA
  • Direct secure messaging: marisa.gefen@oakstreethealth.gwaydirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1386846806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S 40TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043042",
            "telephone_number": "215-444-7470",
            "fax_number": "215-764-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174044939",
            "country_code": "US",
            "telephone_number": "717-200-1567",
            "fax_number": "717-674-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEFEN",
        "first_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD439866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "BASHKIN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.