Elite Medical Associates, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD067085L Issued in PA

Legal business name

ELITE MEDICAL ASSOCIATES, P.C.

Practice address

2020 Penrose Ave Ste A1
Philadelphia, PA 19145-5763

Phone

(215) 517-5050

Fax

(215) 517-4105

NPI assigned

Jun 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Ronald McCoy, MD

Title

Owner

Phone

(215) 991-9006

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043731102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PENROSE AVE STE A1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455763",
            "telephone_number": "215-517-5050",
            "fax_number": "215-517-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PENROSE AVE STE A1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455763",
            "telephone_number": "215-517-5050",
            "fax_number": "215-517-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-991-9006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD067085L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Health Services LLC
• Elite Homecare Group LLC
• Elite Infusion IV Hydration LLC
• Elite Living Home Care, LLC.
• Elite Medical and Rehabilitation, LLC
• Elite Medical Supplies
• Elite Medical Team, Inc.
• Elite Universal Carriers LLC
• Eliza Home Care Agency LLC
• Elizabeth White Psychotherapy LLC

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.