Timothy Maurizi, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA003576L Issued in PA

Practice address

3998 Red Lion Rd
Philadelphia, PA 19114-1436

Phone

(215) 612-4000

Fax

(215) 612-4463

NPI assigned

Jan 9, 2009

Last updated

Aug 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dennis James Bonner, M.D., LTD

  dba Rehabilitation & Occupational Specialist

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Levittown, PA
  • NPI 1316953755
  NPD
• Dennis James Bonner, MD, LTD

  dba Industrial Health Care, Center for Rehab and Fitness

  • Physician Assistant
  • Newtown, PA
  • NPI 1114025418
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1578700787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-561-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141436",
            "telephone_number": "215-612-4000",
            "fax_number": "215-612-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIZI",
        "first_name": "TIMOTHY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003576L",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003576L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan H Maurer, MD
• Beth Maurer, CRNA
• Kristin Maurer, MS LPC
• Lydia Rose Maurer, MD
• Nicole Maurer
• Kelsey Mauro, PHD
• Marcela Valderama Maus, MD
• Rachel Mausner, LCSW
• Matthew Kenneth Maust, P.A.
• Ashley A Maute, CRNP

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.