Individual provider Active NPI

Rebecca Michelle Mazar, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1407911449
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD432666 Issued in PA
Practice address
801 Spruce St
Philadelphia, PA 19107-5701
Phone
(215) 829-3396
Fax
(215) 829-3661
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD432666 PA Primary
Obstetrics & Gynecology Physician 207V00000X 25MA08341400 NJ

Addresses

Primary practice location

801 Spruce St
Philadelphia, PA 19107-5701

Mailing address

801 Spruce St
Philadelphia, PA 19107-5701
Phone (215) 829-3396

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080317000051 PA Practitioner - Obstetrics/Gynecology 4082799986 Reassigns benefits to 1 organization
I20080410000471 NJ Practitioner - Obstetrics/Gynecology 4082799986 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients

Locations

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

800 Walnut St
Fl 15
Philadelphia, PA 19107

800 Walnut St
Fl 12
Philadelphia, PA 19107

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1407911449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-3396",
            "fax_number": "215-829-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-3396",
            "fax_number": "215-829-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAR",
        "first_name": "REBECCA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD432666",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08341400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.