MOHAMED KOUBASSI JABATI (NPI# 1700257029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700257029 |
| Entity Type | Individual |
| Full Name | MOHAMED KOUBASSI JABATI |
| Practice Address |
1229 Hale St Philadelphia PA 19111-5829 |
| Practice Telephone | 2158508057 |
| Mailing Telephone | 2158508057 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | SW131325 | PA | Other Service Providers |
| Street Address |
1229 HALE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427694223 | Oluwafemi Abodunde | Contractor | 450 Byberry Rd Apt B44, Philadelphia, PA 19116-4012 | 2019-11-27 |
| 1710452040 | Samantha R Billings | Contractor | 220 S 47th St, Philadelphia, PA 19139-4426 | 2018-10-13 |
| 1386173250 | Jacqueline Butler | Contractor | 7120 Valley Ave, Philadelphia, PA 19128-3206 | 2017-06-05 |
| 1700312998 | Terrance Cook | Contractor | 37 S Millick St, Philadelphia, PA 19139-3033 | 2017-05-07 |
| 1275072498 | Sederia Brown | Contractor | 142 E Pleasant St, Philadelphia, PA 19119-2144 | 2017-02-21 |
| 1457801201 | Amber Zeigler | Contractor | 702 N 3rd St, Pmb 770, Philadelphia, PA 19123-2904 | 2016-10-05 |
| 1245698398 | Tiffani Ellis-ingram | Contractor | 6484 Ross St, Philadelphia, PA 19119-2333 | 2016-02-03 |
| 1386044485 | Ballah A Kabbah | Contractor | 6418 Elmwood Ave, Philadelphia, PA 19142-3110 | 2014-08-26 |
| 1831495118 | Kianna Lasha Foster | Contractor | 7636 Wyndale Ave, Philadelphia, PA 19151-2707 | 2011-02-02 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on MOHAMED KOUBASSI JABATI.
| 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.