NPIMap

Organization Active NPI

Academy Road Medical Associates, LLC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1265631626
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ACADEMY ROAD MEDICAL ASSOCIATES, LLC
Practice address
10431 Academy Rd
Suite J
Philadelphia, PA 19114-1126
Phone
(215) 637-4300
Fax
(215) 637-8507
NPI assigned
Jul 16, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Herbert M. Schecter, D.O.NPI 1912015744
Title
Sole Propriator
Phone
(215) 637-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

10431 Academy Rd
Suite J
Philadelphia, PA 19114-1126

Mailing address

10431 Academy Rd
Suite J
Philadelphia, PA 19114-1126
Phone (215) 637-4300

Other identifiers 1

IdentifierTypeStateIssuer
001258599MedicaidPA

Other names 1

  • Herbert M. Schecter, D.O. Other name

National Provider Directory

National Provider Directory

Locations

10431 Academy Rd
Ste J
Philadelphia, PA 19114
Phone (215) 637-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1265631626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD",
            "address_2": "SUITE J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141126",
            "telephone_number": "215-637-4300",
            "fax_number": "215-637-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD",
            "address_2": "SUITE J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141126",
            "telephone_number": "215-637-4300",
            "fax_number": "215-637-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY ROAD MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "SCHECTER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE PROPRIATOR",
        "authorized_official_telephone_number": "215-637-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001258599",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert M. Schecter, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.