Mary Elizabeth Previty, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB042206 Issued in NJ

Practice address

7740 Maple Ave
Pennsauken, NJ 08109-5528

Phone

(856) 663-3300

Fax

(856) 663-2224

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730391301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W REDMAN AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332528",
            "telephone_number": "856-354-8022",
            "fax_number": "856-354-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 MAPLE AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081095528",
            "telephone_number": "856-663-3300",
            "fax_number": "856-663-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVITY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB042206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Pigliacelli, LPN
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• Robert Pulverenti, DPT
• Richard Munro Purse
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• Ralph C Lanciano Jr DO PA
• Alexandra Recke

• Family Medicine Physician in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.