Maritime Academy Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MARITIME ACADEMY CHARTER SCHOOL

Practice address

3020 Market St
Philadelphia, PA 19104-2801

Phone

(215) 387-7066

Fax

(215) 387-7021

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ann G Waiters, PH.D.

Title

Ceo

Phone

(215) 387-7066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881644078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042801",
            "telephone_number": "215-387-7066",
            "fax_number": "215-387-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042801",
            "telephone_number": "215-387-7066",
            "fax_number": "215-387-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITIME ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAITERS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-387-7066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011317340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William G Marion, CRNA
• Christina Mariotti, CRNP
• Emily Catherine Mariotti, PHD
• Devi Priyanka Maripuri, GC
• John M Maris, M.D.
• Marjon Enterprises
• Mark a. Rabin DPM Associates
• Mark B. Fabi, M.D., P.C.
• Mark J. Rosen, R.P.T., P.C.
• Mark T Allen, M.D.

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.