MARA ROYE CRISPIN
NPI 1295675239
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Mara Crispin's NPI number?

The NPI number for Mara Crispin is 1295675239. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Mara Crispin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mara Crispin was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since March 30, 2026PECOS Enrolled

4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6693 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 7, 2026, Mar 30, 2026 (2 updates tracked since 2026).

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About Mara Roye Crispin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARA ROYE CRISPIN (NPI 1295675239) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295675239

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARA ROYE CRISPIN

Location Address4170 CITY AVEPhiladelphia, PA 19131-1610

Mailing Address28 Riva Ridge LnBear, DE 19701-3358 · (215) 871-6693 · Fax (215) 871-6695

Phone(215) 871-6693

Sole ProprietorNo

Enumeration DateMarch 30, 2026

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1295675239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4170 CITY AVE, Philadelphia, PA 19131

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Secondary Practice Locations 2

Location 1100 E Lancaster AvePenn Wynne, PA 19096-3450 · Phone (215) 871-6693

Location 28835 Germantown AvePhiladelphia, PA 19118-2718 · Phone (215) 871-6693

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Roye Crispin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. JAWAD AHMAD DO

Student in an Organized Health Care Education/Training Program