Active NPI
Zubina S Mawji, MD
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1477646198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2005-01443
- Practice address
- 15110 John J Delaney Dr
Suite 200
Charlotte, NC 28277-3544 - Phone
- (704) 302-8100
- Fax
- (704) 302-8101
- NPI assigned
- Oct 2, 2006
- Last updated
- Nov 23, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2005-01443 | NC | Primary |
Addresses
Primary practice location
15110 John J Delaney Dr
Suite 200
Charlotte, NC 28277-3544
Mailing address
PO Box 601643
Charlotte, NC 28260-1643
Phone (704) 302-8100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477646198 | Medicaid | NC | |
| N43005 | Medicaid | SC | |
| 5905090 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01443 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Medical Clinic Inc | Internal Medicine | Past | Accepting new patients |
| Lehigh Valley Physician Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
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Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1477646198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601643",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601643",
"telephone_number": "704-302-8100",
"fax_number": "704-302-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15110 JOHN J DELANEY DR",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773544",
"telephone_number": "704-302-8100",
"fax_number": "704-302-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAWJI",
"first_name": "ZUBINA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2005-01443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477646198",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N43005",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905090",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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- Debra J Maurer, PT
- Rohit Kumar Mauria, MD
- Alisha Michelle Mavis, MD
- Maxcen Housing Society Inc. North Carolina Branch
- Maxcen Housing Society Inc. North Carolina Branch
- Thomas S. Maxey, MD
- Maxim Habilitation Services, LLC
- Maxim Healthcare Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.