Parisa M. Garrett, MD – Pediatrics Physician

Key facts

NPI: 1891850756
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 25MA08255300 (NJ)
Practice address: 119 White Horse Pike
Haddon Heights, NJ 08035-1909
Phone: (856) 547-7300
Fax: (856) 547-4573
NPI assigned: Dec 22, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

City of Philadelphia Federally Qualified Health Center (FQHC) · Philadelphia, PA · NPI 1942317094

Medicare reassignment NPD PA
City of Philadelphia Clinical Medical Laboratory · Phila, PA · NPI 1689688798

NPD
City of Philadelphia Federally Qualified Health Center (FQHC) · Philadelphia, PA · NPI 1427165307

NPD (past)
Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20181024000746	PA	Practitioner - Pediatric Medicine	0840397717	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
25MA08255300	NJ	MD	Pediatrics Physician
MD428874	PA	MD	Pediatrics Physician

Practice roles

Organization	Status	New patients
City of Philadelphia	Current since Sep 17, 2018	Accepting new patients
City of Philadelphia	Current since Sep 17, 2018	Accepting new patients
City of Philadelphia	Past	Accepting new patients
Frederick Health Hospital Inc	Past	Accepting new patients

Locations

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

1700 S Broad St
Apt 201
Philadelphia, PA 19145
Phone (215) 685-1800

131 E Chelten Ave
Philadelphia, PA 19144
Phone (215) 685-2933

1101 Market St
Fl 10
Philadelphia, PA 19107

Interoperability endpoints

Direct secure messaging: parisa.garrett@pdphahs.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	MD428874	PA
Pediatrics Physician	208000000X	25MA08255300	NJ	Yes

Addresses

Primary practice location

119 White Horse Pike
Haddon Heights, NJ 08035-1909

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other names

Parisa Mousavi Former name

Other providers in Haddon Heights, NJ

All providers in Haddon Heights, NJ · Pediatrics Physician in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.