Marder Medical Associates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS009943L Issued in PA

Legal business name

MARDER MEDICAL ASSOCIATES, PC

Practice address

8350 Roosevelt Blvd
Philadelphia, PA 19152-2531

Phone

(215) 332-0605

Fax

(215) 332-1156

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Marder, D.O.

Title

President

Phone

(215) 332-0605

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265509905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522531",
            "telephone_number": "215-332-0605",
            "fax_number": "215-332-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522531",
            "telephone_number": "215-332-0605",
            "fax_number": "215-332-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDER MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-332-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009943L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07748069",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Samantha Marcus, PA-C
• Lisa Amy Marcus, CNM
• Sara Jeanne Marcus, CRNA
• Sarah Marcus, LSW
• Sarah Marcus, PHARMD
• Laura R Marder, PH.D.
• Mitchell Jason Marder, D.O.
• Issam A Mardini, MD
• Amaar Marefi, MD, FRCPC
• Gabriela Marein-Efron, MD

• 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.