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Export Provider Record NPI 1275584807
Ellen N ZagrebelskyMD
Active
NPI Number1275584807
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Geriatric Medicine
Provider Details
NPI1275584807
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-16
Last Updated2015-04-13
Mailing Address9892 Bustleton Ave, Suite 102
Philadelphia, PA 19115-2184
United States
Phone: (267) 672-2281 | Fax: (267) 672-8243
📍 View Map
Primary Practice Address9892 Bustleton Ave, Suite 102
Philadelphia, PA 19115-2184
United States
Phone: (267) 672-2281 | Fax: (267) 672-8243
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RG0300X – Internal Medicine, Geriatric MedicinePAMD074148L
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About NPI 1275584807

Ellen N Zagrebelsky MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275584807. The primary specialty listed is Internal Medicine, Geriatric Medicine. The provider is located in Philadelphia, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275584807?

NPI 1275584807 belongs to Ellen N Zagrebelsky MD, a Internal Medicine, Geriatric Medicine in Philadelphia, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275584807 active?

The current status of NPI 1275584807 in the NPPES registry is Active. The record was last updated on 2015-04-13.

What specialty is NPI 1275584807?

NPI 1275584807 is classified under the taxonomy Internal Medicine, Geriatric Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275584807?

You can verify NPI 1275584807 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275584807?

The primary practice address on file for NPI 1275584807 is 9892 Bustleton Ave, Philadelphia, PA 19115-2184. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275584807 issued?

NPI 1275584807 was first issued (enumerated) on 2006-05-16. The NPPES record was last updated on 2015-04-13.

Practice Location Map

Ellen N Zagrebelsky is located at 9892 Bustleton Ave, Philadelphia, PA. Use the map below to find directions or verify the practice location.

📍 9892 Bustleton Ave, Philadelphia, PA 19115-2184  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ellen N Zagrebelsky. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275584807. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Geriatric MedicineMD074148LPA
Data Verified from CMS NPPES Last synced: 2026-07-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162