Medica Center of Richboro, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS002905L Issued in PA

Legal business name

MEDICA CENTER OF RICHBORO, P.C.

Practice address

778 2ND Street Pike
Richboro, PA 18954-1003

Phone

(215) 942-2850

Fax

(215) 942-2854

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Ronald S. Luber, D.O.NPI 1598794968

Title

President

Phone

(215) 942-2850

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald S Luber

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1598794968
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093744856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 2ND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541003",
            "telephone_number": "215-942-2850",
            "fax_number": "215-942-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 2ND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541003",
            "telephone_number": "215-942-2850",
            "fax_number": "215-942-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA CENTER OF RICHBORO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUBER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-942-2850",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002905L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006162820007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Kathleen Martin, LPC
• Emily Martorelli, MSAT, LAT, CAT
• Manju Mathew, O.D.
• Kathleen M McKeever, MSN-FNP
• Itzhak Medan, M.D.
• Medishuttle Transportation LLC
• Robert H Menapace, PHD
• Anthony J Menard, PHARMD
• Brittany Joelle Miller
• Glenn J. Miller, D.M.D.

• Family Medicine Physician in Richboro, PA
• Providers in Richboro, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.