MAZZONI CENTER
NPI 1477631307
Family Medicine in Philadelphia, PA

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: October 25, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mazzoni Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Mazzoni Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 15 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner7
Family Practice3
Clinical Social Worker2
Internal Medicine2
Clinical Psychologist1
General Practice1
Infectious Disease1
Psychiatry1

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1790349835
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0652
✔ PECOSSame address
Clinical Social Worker
NPI 1003471301
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0652
✔ PECOSSame address
Nurse Practitioner
NPI 1578275087
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0652
✔ PECOSSame address
Nurse Practitioner
NPI 1396355327
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0657
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679776926
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0658
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1134159254
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0658
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1063799351
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0658
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922503853
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0652
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1073716296
1348 BAINBRIDGE ST
Philadelphia, PA 19147
(215) 563-0658
✔ PECOSSame address
General Practice
NPI 1336226166
253 SO 10TH STREET SUITE 201
Philadelphia, PA 19107
(215) 829-0170
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1063926863
1427 VINE ST FL 2
Philadelphia, PA 19102
(215) 762-2530
✔ PECOS1.1 mi
Internal Medicine
NPI 1386719979
3322 N BROAD ST
Philadelphia, PA 19140
(215) 707-1800
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1710411749
4700 WISSAHICKON AVE
Philadelphia, PA 19144
(215) 843-9720
✔ PECOS5.1 mi
Clinical Psychologist
NPI 1316552102
907 CHESTER PIKE
Sharon Hill, PA 19079
(610) 583-1177
✔ PECOS✔ Accepts Medicare6.1 mi
Psychiatry
NPI 1346504800
JEFFERSON DEPARTMENT OF PSYCHIATRY 33 S. 9TH STREET
Philadelphia, PA 19107
(617) 643-0404
✔ PECOS✔ Accepts Medicare7.1 mi
Clinical Social Worker
NPI 1205419298
928 JAYMOR RD STE B150
Southampton, PA 18966
(215) 947-8654
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1568964005
2001 US HIGHWAY 46 STE 310
Parsippany, NJ 07054
(720) 897-3749
✔ PECOS75 mi
Nurse Practitioner
NPI 1629746136
30 HUNTER LN
Camp Hill, PA 17011
(800) 748-3243
✔ PECOS95 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 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.

Where is Mazzoni Center located?

Mazzoni Center is located at 1348 Bainbridge St, Philadelphia, PA 19147. The listed phone number is (215) 563-0652.

What is Mazzoni Center's specialty?

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

Is Mazzoni Center enrolled in Medicare?

Yes. Mazzoni Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mazzoni Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 8 Medicare specialties reassign their Medicare billing to Mazzoni Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (3) and Clinical Social Worker (2). Of these, 9 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mazzoni Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0960059) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mazzoni Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mazzoni Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 3 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.