Mark Tay

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30663601 Issued in PA

Practice address

3235 Kensington Ave
Philadelphia, PA 19134-1934

Phone

(267) 321-9939

NPI assigned

Jul 26, 2018

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Humane Home Care Agency

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1366929903
  NPD (past) Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1679050298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLITS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191361115",
            "telephone_number": "267-321-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341934",
            "telephone_number": "267-321-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "30663601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103114278-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nermine Tawadrous, PSY.D.
• Ahmad Zaki Tawaf, CRNP
• Anne W Tax, PH.D.
• John J Taxiera, AGACNP
• Khoon-Yen Tay, M.D.
• Abigail Mesfin Taye, MD
• Rihab Tayeb
• Maha Tayefeh, DMD
• Melanie Tayer, FNP-BC
• Keitha Rebecca Taylor Beamer, MSN, APMHCNS,BC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.