MARYA PULASKI MD
NPI 1174107882
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Marya Pulaski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYA PULASKI MD (NPI 1174107882) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marya Pulaski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marya Pulaski's NPI number?
The NPI number for Marya Pulaski is 1174107882. It was assigned to this individual provider in the NPPES registry on May 9, 2021.
Where is Marya Pulaski located?
Marya Pulaski practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2250.
What is Marya Pulaski's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marya Pulaski enrolled in Medicare?
Yes. Marya Pulaski is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marya Pulaski was last updated on May 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marya Pulaski, MD · NPI 1174107882
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 9, 2021.
## Identity
- **NPI:** 1174107882 (Entity type: Individual)
- **Enumerated:** May 9, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-2250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174107882) · Data from the CMS NPPES public registry.