Zoe Flaxenburg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA061804 Issued in PA

Practice address

83 Merbrook LN
Merion Station, PA 19066-1617

Phone

(610) 506-5421

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1518569854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MERBROOK LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661617",
            "telephone_number": "610-506-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MERBROOK LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661617",
            "telephone_number": "610-506-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAXENBURG",
        "first_name": "ZOE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA061804",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "address_1": "83 Merbrook Ln",
            "city": "Merion Station",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190661617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan M Edelman, M.D.
• Tracy Feldman-Ashdale, LCSW
• Lisa Renee Feldman, MSW
• Miriam Field, M.S.S.
• Michael Fine, PT, DPT
• Stanley Orkin Forman, MD
• Nancy Ellen Fox, PH.D.
• Barbara Friedman
• Meira Malka Friedman, M.D.
• S. Dovid Friedman, DMD

• Physician Assistant in Merion Station, PA
• Providers in Merion Station, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.