Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marisa Sara Prelack, MD

Individual provider Pediatrics Physician · NPI 1366705626

Dr. Marisa Sara Prelack, MD is a Neurology in Philadelphia, Pennsylvania. Graduated from Tufts University School of Medicine in 2012, 14 years ago. Practices with Childrens Health Care Associates Inc, a 212-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Tufts University School of Medicine
Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd Division Of Neurology
Philadelphia, PA 19104-4319
Phone: (267) 254-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MT201266 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MT201266 (PA)

Record details

NPI number1366705626
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJuly 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Childrens Health Care Associates Inc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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