Individual provider Active NPI

Rebecca Mina Oksenhendler, MDCM

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1912778150
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD483605 Issued in PA
Practice address
3400 Spruce St FL 3
Philadelphia, PA 19104-4229
Phone
(215) 662-3983
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD483605 PA Primary

Addresses

Primary practice location

3400 Spruce St FL 3
Philadelphia, PA 19104-4229

Mailing address

701 Rue Irene
Apt 412
Montreal, QC H4C 2P2
CA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MD483605PAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1912778150",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "701 RUE IRENE",
            "address_2": "APT 412",
            "city": "MONTREAL",
            "state": "QC",
            "postal_code": "H4C 2P2"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044229",
            "telephone_number": "215-662-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKSENHENDLER",
        "first_name": "REBECCA",
        "middle_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "MDCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD483605",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2024; 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.