Cherie M Mazeffa, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS010342L Issued in PA

Practice address

100 E Lehigh Avenue
Philadelphia, PA 19125

Phone

(215) 707-1656

Fax

(215) 707-0805

NPI assigned

Mar 14, 2006

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 3

Other names 1

• Cherie Marie Mininger Former name

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1730571324
  Medicare reassignment NPD
• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Flourtown, PA
  • NPI 1245892314
  NPD
• Doylestown Emergency Associates PC

  • Urgent Care Clinic/Center
  • Doylestown, PA
  • NPI 1316308703
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1497723571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828065",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828065",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "215-707-1656",
            "fax_number": "215-707-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2966 Street Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202604",
            "country_code": "US",
            "telephone_number": "215-638-0666",
            "fax_number": "215-638-3320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141031",
            "country_code": "US",
            "telephone_number": "215-934-3471",
            "fax_number": "215-934-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZEFFA",
        "first_name": "CHERIE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS010342L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017994900007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "529796",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC",
            "identifier": "0284067000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "MININGER",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Mayzenberg, DMD
• Vanessa Mazandi, M.D.
• Rebecca Michelle Mazar, MD
• Peter Mazari, M.D.
• Brittany M Maze
• Lee Eric Mazer, PHARMD
• Megan Elizabeth Mazer, CRNP
• Cyrus Mazidi, M.D.
• Tracy Mazique, MCC
• Dana S Mazo

• Emergency Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.