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MARIELL L JESSUP MD
NPI 1912937087
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since July 04, 2006
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104(215) 615-4949(215) 615-0829 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mariell L Jessup Md NPPES

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

MARIELL L JESSUP MD (NPI 1912937087) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD020586E) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912937087
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMARIELL L JESSUPCredential: MD
Location Address3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOORPhiladelphia, PA 19104-4306
Mailing Address3400 Civic Center Boulevard, East Pavillion, 2nd FloorPhiladelphia, PA 19104-4306 · (215) 615-4949 · Fax (215) 615-0829
Phone(215) 615-4949
Fax(215) 615-0829
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 4, 2012
✔ NPI 1912937087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD020586E
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD020586E (PA)
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104
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Other Identifiers 3

Medicare UPINC29076
Medicare PIN074754PA
Medicaid0010720780010PA

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.

LIZA THOMAS CRNP
Nurse Practitioner (Acute Care)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2891
DR. ANASTASSIA AMARO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
HAMDEE Y ATTALLAH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
TRACY S D'ENTREMONT MD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-5858
DR. JOSHUA DANIEL BRANDSTADTER M.D., PHD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD, 10TH FLOOR PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3681
NICHOLAS ALEXANDER BEAM
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0063
MICHAEL S PARMACEK MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
DR. WILLIAM DAVID SCHWEICKERT MD
Internal Medicine (Pulmonary Disease)
3400 CIVIC CENTER BOULEVARD, WEST PAVILLION - 1ST FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3202

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 Mariell Jessup's NPI number?

The NPI number for Mariell Jessup is 1912937087. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Mariell Jessup located?

Mariell Jessup practices at 3400 Civic Center Boulevard East Pavilion, 2nd Floor, Philadelphia, PA 19104. The listed phone number is (215) 615-4949.

What is Mariell Jessup's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mariell Jessup was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.