JOAN MINETTE MACK M.D. NPI 1558309872

NPI Information

  • NPI: 1558309872
  • Provider Name: JOAN MINETTE MACK, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1500 LANSDOWNE AVE
    DARBY, PA
    ZIP 19023
  • Phone: (610) 237-4814

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NPI Details

Joan Minette Mack, M.D. is a general practice in Darby, PA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Joan Minette Mack, M.D. NPI is 1558309872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 LANSDOWNE AVE
DARBY, PA
ZIP 19023-200
Phone: (610) 237-4814

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD030223EPENNSYLVANIANo
2208D00000XGeneral PracticeMD 030223-EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B39175MEDICARE UPIN
20012594240014MEDICAIDPENNSYLVANIA
3692906MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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