Individual provider Active NPI

Lisa A. Maslankowski, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1750300240
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD056822L Issued in PA
Practice address
321 W Girard Ave
Health Center #6
Philadelphia, PA 19123-1531
Phone
(215) 685-3808
Fax
(215) 685-3852
NPI assigned
Jul 18, 2006
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD056822L PA Primary
Psychiatry Physician 2084P0800X MD056822L PA

Addresses

Primary practice location

321 W Girard Ave
Health Center #6
Philadelphia, PA 19123-1531

Mailing address

321 W Girard Ave
Health Center #6
Philadelphia, PA 19123-1531
Phone (215) 685-3808

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130823000303 PA Practitioner - Internal Medicine 3971746983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

1900 N 20TH St
Health Care Ctr 5
Philadelphia, PA 19121-2217
Phone (215) 685-2973

321 W Girard Ave
Health Care Ctr 6
Philadelphia, PA 19123-1531
Phone (215) 685-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD056822LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Apr 24, 2013 Accepting new patients
City of Philadelphia CurrentSince Apr 24, 2013 Accepting new patients
City of Philadelphia Current Accepting new patients

Locations

1101 Market St
Fl 10
Philadelphia, PA 19107

321 W Girard Ave
Philadelphia, PA 19123
Phone (215) 685-3803

321 W Girard Ave
#6
Philadelphia, PA 19123
Phone (215) 685-3803

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Interoperability endpoints

  • Direct secure messaging: lisa.maslankowski@pdphahs.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1750300240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W GIRARD AVE",
            "address_2": "HEALTH CENTER #6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231531",
            "telephone_number": "215-685-3808",
            "fax_number": "215-685-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W GIRARD AVE",
            "address_2": "HEALTH CENTER #6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231531",
            "telephone_number": "215-685-3808",
            "fax_number": "215-685-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLANKOWSKI",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD056822L",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD056822L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.