Mara Leyzin, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-032043-E Issued in PA

Legal business name

MARA LEYZIN, MD, PC

Practice address

8025 Castor Ave
Phila, PA 19152-2733

Phone

(215) 745-9900

Fax

(215) 745-9902

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Mara Leyzin, MD

Title

President/Solo Practitioner

Phone

(215) 745-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1922351360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 CASTOR AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522733",
            "telephone_number": "215-745-9900",
            "fax_number": "215-745-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 CASTOR AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522733",
            "telephone_number": "215-745-9900",
            "fax_number": "215-745-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA LEYZIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "LEYZIN",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "PRESIDENT/SOLO PRACTITIONER",
        "authorized_official_telephone_number": "215-745-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-032043-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102634086000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Make It Happen Phily Inc
• Eilyn Malave-Ortiz
• Mubarik Ali Malik, DDS
• Monica Mallory-Whitmore, MD
• Kathleen Ann Maloney, M.D.
• Michael Marchesani
• Harold H Marcus, DDS
• Joni R Marcus, DMD
• Carol N Marder, CRNP
• Mark Allen Orthopedic Clinic

• Family Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.