Active NPI
Ashley Mariel Kazatsky, D.O.
- Pediatric Allergy/Immunology Physician
- Philadelphia, PA
National Provider Identifier
1881856466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- OS015525
- Practice address
- 3500 Civic Center Blvd
Philadelphia, PA 19104 - Phone
- (215) 590-1000
- Fax
- (215) 590-2180
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | OS015525 | PA | Primary |
Addresses
Primary practice location
3500 Civic Center Blvd
Philadelphia, PA 19104
Mailing address
100 Penn Square East
9TH Floor North Tower
Philadelphia, PA 19107
Phone (267) 425-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026075340003 | Medicaid | PA |
Other names 1
- Dr. Ashley Mariel Altman
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates of New Jersey PC | 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.
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1881856466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PENN SQUARE EAST",
"address_2": "9TH FLOOR NORTH TOWER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "267-425-9200",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1000",
"fax_number": "215-590-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZATSKY",
"first_name": "ASHLEY",
"middle_name": "MARIEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "PA",
"license": "OS015525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026075340003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "ALTMAN",
"middle_name": "MARIEL",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}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 Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.