Maria Fogata MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 053767L Issued in PA

Legal business name

MARIA FOGATA MD PC

Practice address

100 West Avenue 210S
Jenkintown, PA 19046-2625

Phone

(215) 726-3845

Fax

(215) 886-1053

NPI assigned

Aug 31, 2006

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Fogata, M.D.NPI 1609064112

Title

Owner

Phone

(215) 726-3845

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Fogata, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Jenkintown, PA
  • NPI 1609064112
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1962513531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST AVENUE 210S",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462625",
            "telephone_number": "215-726-3845",
            "fax_number": "215-886-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST AVENUE 210S",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462625",
            "telephone_number": "215-726-3845",
            "fax_number": "215-886-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA FOGATA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "FOGATA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-726-3845",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 053767L",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD 053767L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.