RAHA MOZAFFARI DMD LLC (NPI# 1649865163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649865163 |
| Entity Type | Organization |
| Organization Name | RAHA MOZAFFARI DMD LLC |
| Other Organization Name | FISHTOWN DENTISTRY (Doing Business As Name) |
| Practice Address | 244 E Girard Ave Philadelphia PA 19125-3929 |
| Practice Telephone | 2157392543 |
| Mailing Address | 435 E Flora St Philadelphia PA 19125-3315 |
| Mailing Telephone | 2157403912 |
| Certification Date | 2021-03-05 |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |
| Authorized Official Telephone | 2157392543 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 261QD0000X | Clinic/Center Specialization: Dental | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fishtown Dentistry | Doing Business As Name |
| Street Address | 244 E GIRARD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023370087 | Raha Mozaffari | Dentist · General Practice | 244 E Girard Ave, Philadelphia, PA 19125-3929 | 2012-06-14 |
| 1891883252 | David Slobodinsky | Dentist · General Practice | 244 E Girard Ave, Philadelphia, PA 19125-3929 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557051 | Serena Romero | Counselor · Mental Health | 250 E Girard Ave, Apt 2, Philadelphia, PA 19125-3929 | 2015-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942300 | Winnie Lam | Student in an Organized Health Care Education/Training Program | 2675 E Cumberland St, Philadelphia, PA 19125 | 2018-05-16 |
| 1437662772 | Absolutecare of Philadelphia, LLC | Clinical Medical Laboratory | 1080 N Delaware Ave Ste 800, Philadelphia, PA 19125 | 2017-11-08 |
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology · Psychiatry | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology · Behavioral Neurology & Neuropsychiatry | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1376079640 | Yuan Tian | Dentist | 2459 Aramingo Ave, Philadelphia, PA 19125 | 2017-05-05 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor · Professional | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1013320704 | Ruby Hassanyeh Barghini · Ruby Akram Hassanyeh | Psychiatry & Neurology · Psychiatry | 100 E Lehigh Ave, Philadelphia, PA 19125 | 2014-06-10 |
| 1235564337 | Ron Benjamin | Radiology · Diagnostic Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952996506 | The Children's Tooth Spa P.C. | 801 N 2nd St, Philadelphia, PA 19123-3090 | 2021-03-05 | |
| 1851983936 | Seventy Six Dental PC | 212 Brown St Ste 100, Philadelphia, PA 19123-2959 | 2021-02-09 | |
| 1790376747 | Pure Dentistry LLC | 1601 Walnut St Ste 1217, Philadelphia, PA 19102-2908 | 2021-02-02 | |
| 1043807522 | Town Dental PC | 6412 Frankford Ave Unit 10, Philadelphia, PA 19135-3005 | 2020-12-30 | |
| 1396352399 | Wadsworth Dental, LLC | 1501 E Wadsworth Ave, Philadelphia, PA 19150-1605 | 2020-09-24 | |
| 1487260220 | Dental Germantown, LLC | 2627 Germantown Ave, Philadelphia, PA 19133-1618 | 2020-09-17 | |
| 1346859691 | Ismile Dental Team PC | 6573 Roosevelt Blvd, Philadelphia, PA 19149-2918 | 2020-07-23 | |
| 1124642897 | Walnut Street Smiles PC | 1601 Walnut St Ste 1025, Philadelphia, PA 19102-2911 | 2020-05-29 | |
| 1053959940 | Premiere Dental of Philadelphia | 5542 Ridge Ave, Philadelphia, PA 19128-2726 | 2019-12-11 | |
| 1215574355 | Smile Team PC | 9301 Banes St, Philadelphia, PA 19115-4201 | 2019-12-09 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023370087 | Raha Mozaffari | Dentist · General Practice | 244 E Girard Ave, Philadelphia, PA 19125-3929 | 2012-06-14 |
| 1669443305 | Susan K Mozaffari | Nurse Anesthetist, Certified Registered | 1820 Mozaffari Ln, Godfrey, IL 62035-1513 | 2006-01-31 |
| 1366644882 | Raha Shaw · Raha Esmaeili-Tehrani | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2007-06-05 |
| 1770879835 | Basim Mozaffari · Basim Mozaffari-Nejad | Internal Medicine | 9590 E Ironwood Square Dr, Ste 125, Scottsdale, AZ 85258-4583 | 2011-06-27 |
| 1720128630 | Raha Nael · Raha Nael | Internal Medicine · Cardiovascular Disease | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2007-02-08 |
| 1558786277 | Ester Raha Ngeembi Nyaggah · Raha Ester Ngeembi Nyaggah | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2014-03-04 |
| 1821630468 | F Brad Mozaffari Md Inc | Plastic Surgery | 3655 Nobel Dr Ste 100, San Diego, CA 92122-1004 | 2019-10-15 |
| 1588647259 | Jahangir Mozaffari | Dentist · General Practice | 535 W 110th St, Suite 1g, New York, NY 10025-2086 | 2005-11-26 |
| 1285901777 | Maryam Mozaffari | Pharmacist | 1130 Bird Ave, San Jose, CA 95125-1700 | 2011-11-28 |
| 1336388560 | Brian Bezorgmehr Mozaffari | Student in an Organized Health Care Education/Training Program | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2009-02-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.