MAZZONI CENTER
NPI 1477631307
Family Medicine in Philadelphia, PA

Q: What is Mazzoni Center's NPI number?

The NPI number for Mazzoni Center is 1477631307. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Pcha.

Q: What is Mazzoni Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mazzoni Center was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 01, 2006CLIA 39D0960059 · Microscopy

1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147(215) 563-0652(215) 563-0664 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Jul 21, 2022, Apr 21, 2021 and 5 more (8 updates tracked since 2016).

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About Mazzoni Center NPPES

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

MAZZONI CENTER (NPI 1477631307), doing business as Pcha, is a healthcare organization registered as a family medicine in Philadelphia, Pennsylvania and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through July 8, 2028, maintains 2 additional practice locations, and lists Alecia Manley, Coo, as its authorized official.

NPPES Registry Identity

NPI1477631307

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAZZONI CENTER

Location Address1348 BAINBRIDGE STPhiladelphia, PA 19147-1810

Mailing Address1348 Bainbridge StPhiladelphia, PA 19147-1810 · (215) 563-0652 · Fax (215) 563-0664

Phone(215) 563-0652

Fax(215) 563-0664

Organization SubpartNo

Authorized OfficialAlecia ManleyCoo · (215) 563-0652

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 5, 20238 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1477631307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 807382 (PA)

1348 BAINBRIDGE ST, Philadelphia, PA 19147

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Other Names 1

Former Legal Business NamePcha

Secondary Practice Locations 2

Location 1809 Locust StreetPhiladelphia, PA 19107-4123 · Phone (215) 563-0658 · Fax (215) 563-0662

Location 21201 Locust StPhiladelphia, PA 19107-5409 · Phone (215) 985-9206 · Fax (215) 923-0365

Other Identifiers 1

Medicaid1007555740014PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0960059

Mazzoni Center #26408 · Philadelphia, PA

Active · expires Jul 8, 2028

CLIA Number39D0960059

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 9, 2026

Certificate Expiration DateJuly 8, 2028

Laboratory DirectorDr. Julia L. Dejoseph

Laboratory Phone(215) 563-0658

Laboratory LocationMazzoni Center #264081348 Bainbridge Street, Philadelphia, PA 19147

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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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.

LUCY GLEYSTEEN

Social Worker (Clinical)