Individual provider Active NPI

Pawel Czeslaw Machura

  • Music Therapist
  • Havertown, PA
National Provider Identifier
1760823652
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
10745 Issued in PA
Practice address
2050 W Chester Pike
Suite 115
Havertown, PA 19083-2742
Phone
(610) 449-9669
Fax
(610) 449-5566
NPI assigned
Jul 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 10745 PA Primary

Addresses

Primary practice location

2050 W Chester Pike
Suite 115
Havertown, PA 19083-2742

Mailing address

4816 Warrington Ave
Philadelphia, PA 19143-3414
Phone (732) 939-5517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10745PAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Musicworks Music Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1760823652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 WARRINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433414",
            "telephone_number": "732-939-5517",
            "fax_number": "610-449-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W CHESTER PIKE",
            "address_2": "SUITE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-449-9669",
            "fax_number": "610-449-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHURA",
        "first_name": "PAWEL",
        "middle_name": "CZESLAW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "10745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.