Organization Active NPI

Marlowe Zwillenberg & Ghaderi LLC

  • Otolaryngology Physician
  • Springfield, PA
National Provider Identifier
1659335966
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MARLOWE ZWILLENBERG & GHADERI LLC
Practice address
100 W Sproul Rd Ste 220
Springfield, PA 19064-2033
Phone
(610) 328-4800
NPI assigned
Apr 13, 2006
Last updated
Apr 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Mahmoud Ghaderi, DONPI 1689645632
Title
Managing Partner
Phone
(856) 423-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Facial Plastic Surgery Physician 207YS0123X NU
Otolaryngic Allergy Physician 207YX0602X NU

Addresses

Primary practice location

100 W Sproul Rd Ste 220
Springfield, PA 19064-2033

Mailing address

175 W Cohawkin Rd Ste C
Clarksboro, NJ 08020-1145
Phone (856) 423-7700

Other identifiers 2

IdentifierTypeStateIssuer
CI6622OtherPARAIL ROAD MEDICARE
0017290010MedicaidPA

National Provider Directory

National Provider Directory

Locations

10 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004
Phone (610) 328-4800

1501 Lansdowne Ave
Ste 209
Darby, PA 19023
Phone (484) 494-5595

1920 Chestnut St
Fl 2
Philadelphia, PA 19103
Phone (215) 561-2546

100 W Sproul Rd
#220
Springfield, PA 19064
Phone (610) 328-4800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1659335966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W COHAWKIN RD STE C",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201145",
            "telephone_number": "856-423-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SPROUL RD STE 220",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642033",
            "telephone_number": "610-328-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLOWE ZWILLENBERG & GHADERI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "GHADERI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "856-423-7700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CI6622",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017290010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.