Active NPI
Nasima R Mansur, MD
- Anesthesiology Physician
- Havertown, PA
National Provider Identifier
1629066261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD058123L
- Practice address
- 2010 Old West Chester Pike
Havertown, PA 19083 - Phone
- (610) 789-8090
- NPI assigned
- Oct 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD058123L | PA | Primary |
Addresses
Primary practice location
2010 Old West Chester Pike
Havertown, PA 19083
Mailing address
PO Box 8500 4066
Philadelphia, PA 19178-4066
Phone (888) 709-4485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001752 | Other | PA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Mid-Atlantic Pain Medicine, PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Interventional Pain Medicine Physician
- Havertown, PA
- NPI 1174799340
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1629066261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 4066",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191784066",
"telephone_number": "888-709-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 OLD WEST CHESTER PIKE",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "19083",
"telephone_number": "610-789-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSUR",
"first_name": "NASIMA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-07",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD058123L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "001752",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.