Mid Atlantic Medical Assoc Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA08725900 Issued in NJ

Legal business name

MID ATLANTIC MEDICAL ASSOC INC

Practice address

120 Carnie Blvd
Suite 4
Voorhees, NJ 08043-4520

Phone

(856) 751-7799

Fax

(856) 751-6660

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Adil Ali, MD

Title

Medical Director

Phone

(856) 313-7911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1225337272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FRANKLIN DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432163",
            "telephone_number": "856-313-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CARNIE BLVD",
            "address_2": "SUITE 4",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434520",
            "telephone_number": "856-751-7799",
            "fax_number": "856-751-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ADIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-313-7911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08725900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Michelle Meyers, CNM
• Victoria Claire Meyers
• Michael J Gentlesk MD PA
• Michael L. Marone, M. D.
• Catherine Nora Michvech
• Midatlantic Personal Injury Pain Management (Mpipm)
• Katherine Mikusa, DTR
• Caty Milano, APN
• Margaret Ann Milburn, PA-C
• Janaya Lanette Miles, DO

• Pain Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.