Mastery CS - Pickett Campus

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MASTERY CS - PICKETT CAMPUS

Practice address

5700 Wayne Ave
Philadelphia, PA 19144-3314

Phone

(267) 236-0036

Fax

(267) 236-0030

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Frederick C Bader

Title

Access Coordinator

Phone

(267) 236-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1588834857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 JOHNSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191485016",
            "telephone_number": "267-236-0036",
            "fax_number": "267-236-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443314",
            "telephone_number": "267-236-0036",
            "fax_number": "267-236-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERY CS - PICKETT CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCESS COORDINATOR",
        "authorized_official_telephone_number": "267-236-0036"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020420490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mastery Charter Mann Elementary School
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• Mastery Charter School-Shoemaker Campus
• Mastery Charter School-Thomas Campus
• Nicholas F Maston, M.D.
• Lisa Mastoon
• Diane Mastrando, CRNA
• Meghan L Mastrangelo
• Kara Mastrocola, PSYD, MED

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.