Celeste C Mruk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD020996E Issued in PA

Practice address

2 Bala Plaza
Suite 1L-27
Bala Cynwood, PA 19004-1501

Phone

(610) 668-9999

Fax

(610) 668-7188

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Clinical Care Associates of the University of Pennsylvania Health

  • Internal Medicine Physician
  • Radnor, PA
  • NPI 1972682995
  Medicare reassignment NPD
• Clinical Care Associates of the University of Pennsylvania Health

  • Psychologist
  • West Chester, PA
  • NPI 1649940107
  NPD
• Clinical Care Associates of the University of Pennsylvania Health Syst

  • Hospitalist Physician
  • Bala Cynwyd, PA
  • NPI 1790737468

  Internal Medicine

  NPD (past)
• Penn Medicine CCP

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1891042826
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1700812401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALA PLAZA",
            "address_2": "SUITE 1L-27",
            "city": "BALA CYNWOOD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-9999",
            "fax_number": "610-668-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLAZA",
            "address_2": "SUITE 1L-27",
            "city": "BALA CYNWOOD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-9999",
            "fax_number": "610-668-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUK",
        "first_name": "CELESTE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD020996E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008760110008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Najneen Ahmed, O.D.
• Russin Eye LLC
• Ruth Sampson-Pilgrim

• Internal Medicine Physician in Bala Cynwood, PA
• Providers in Bala Cynwood, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.