Mana Mozaffarian, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS040251 Issued in PA

Practice address

1233 Locust St
3Rd Floor
Philadelphia, PA 19107-5453

Phone

(215) 525-3046

Fax

(215) 732-1478

NPI assigned

May 10, 2008

Last updated

Mar 17, 2023By 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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1740457621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 S 15TH ST UNIT 1608",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022208",
            "telephone_number": "215-971-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075453",
            "telephone_number": "215-525-3046",
            "fax_number": "215-732-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAFFARIAN",
        "first_name": "MANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moylan Chiropractic Center
• Daniel Drew Moylan, MD
• James Edward Moylan, D.C.
• Mohammad Ali Mozaffari, MD
• Raha Mozaffari, D.M.D.
• Jennefer Lin Mozeleski
• Mark J Mozulay, M.D.
• Mpath Assistive Care LLC.
• Mpath Living LLC
• Eva Mwadi Mpiana, MA

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.