Active NPI
Rebecca Maury, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Blue Bell, PA
National Provider Identifier
1902824519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD426999
- Practice address
- 1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239 - Phone
- (877) 868-4827
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD426999 | PA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD426999 | PA | Primary |
Addresses
Primary practice location
1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239
Mailing address
1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239
Phone (877) 868-4827
Other practice location 1
833 Chestnut St
Suite 701
Philadelphia, PA 19107-4414
Phone (215) 955-6180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101411460 | Medicaid | PA | |
| 0079821 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referral@vitas.direct.kno2fy.com | VITAS Solutions Inc |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1902824519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1787 SENTRY PKWY W STE 405",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222239",
"telephone_number": "877-868-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1787 SENTRY PKWY W STE 405",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222239",
"telephone_number": "877-868-4827"
}
],
"practiceLocations": [
{
"address_1": "833 Chestnut St",
"address_2": "Suite 701",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074414",
"country_code": "US",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURY",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD426999",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "PA",
"license": "MD426999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101411460",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079821",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referral@vitas.direct.kno2fy.com",
"affiliation": "Y",
"affiliationName": "VITAS Solutions Inc",
"address_1": "3720 Executive Way",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330253946",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.