NPIMap

Organization Active NPI

Marlene J. Mash, M.D., P.C.

  • Dermatology Physician
  • Plymouth Meeting, PA
National Provider Identifier
1487704078
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD030337E Issued in PA
Legal business name
MARLENE J. MASH, M.D., P.C.
Practice address
545 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462-1349
Phone
(484) 351-8268
Fax
(484) 351-8275
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Marlene Mash, M.D.
Title
Owner
Phone
(484) 351-8268

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X MD030337E PA Primary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X MA051378 PA
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X MA052739 PA
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X MA051378 PA

Addresses

Primary practice location

545 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462-1349

Mailing address

545 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462-1349
Phone (484) 351-8268

National Provider Directory

National Provider Directory

Locations

545 W Germantown Pike
Ste 100
Plymouth Mtng, PA 19462
Phone (484) 351-8268

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1487704078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W GERMANTOWN PIKE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621349",
            "telephone_number": "484-351-8268",
            "fax_number": "484-351-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W GERMANTOWN PIKE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621349",
            "telephone_number": "484-351-8268",
            "fax_number": "484-351-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE J. MASH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "MASH",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-351-8268",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD030337E",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051378",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052739",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.