Active NPI
Mark a. Rabin DPM Associates
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1851336705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001354L
- Legal business name
- MARK A. RABIN DPM ASSOCIATES
- Practice address
- 2375 Woodward St
Suite 111N
Philadelphia, PA 19115-5120 - Phone
- (215) 676-7080
- Fax
- (215) 676-7802
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Alan Rabin, DPM
- Title
- Owner
- Phone
- (215) 676-7080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001354L | PA | Primary |
Addresses
Primary practice location
2375 Woodward St
Suite 111N
Philadelphia, PA 19115-5120
Mailing address
2375 Woodward St
Suite 111N
Philadelphia, PA 19115-5120
Phone (215) 676-7080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009945550001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Philadelphia, PA
- NPI 1457332405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200096000000",
"number": "1851336705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 WOODWARD ST",
"address_2": "SUITE 111N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191155120",
"telephone_number": "215-676-7080",
"fax_number": "215-676-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 WOODWARD ST",
"address_2": "SUITE 111N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191155120",
"telephone_number": "215-676-7080",
"fax_number": "215-676-7802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A. RABIN DPM ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2008-01-12",
"status": "A",
"authorized_official_last_name": "RABIN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-676-7080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001354L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009945550001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.