Roosevelt Family Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROOSEVELT FAMILY MEDICAL CENTER, INC.

Practice address

4517 N Broad St
Philadelphia, PA 19140-1215

Phone

(215) 324-1900

Fax

(215) 324-4239

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Singer, D.O.

Title

President

Phone

(215) 676-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114035326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401215",
            "telephone_number": "215-324-1900",
            "fax_number": "215-324-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401215",
            "telephone_number": "215-324-1900",
            "fax_number": "215-324-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-676-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10 DIGIT HMO ID",
            "identifier": "0058484001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Roop
• Kristina D Roose, LCSW
• Roosevelt Dialysis LLC
• Roosevelt Emergency Physicians
• Roosevelt Emergency Physicians
• Roosevelt Pharmacy LLC
• Root Canal Assoc, P.C.
• Gina Root
• Haley Root
• Rooted in Care Counseling

• 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 Aug 22, 2020; 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.