Main Line Urgent Care Medical Group PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MAIN LINE URGENT CARE MEDICAL GROUP PC

Doing business as

CareSTAT Urgent Care Centers

Practice address

1468 Old York Rd
Abington, PA 19001-2617

Phone

(215) 660-3500

Fax

(215) 277-1485

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Maurice N Reid

Title

Ceo

Phone

(410) 569-0044

Specialties & licenses 1

Addresses

Other names 1

• CareSTAT Urgent Care Centers Doing business as

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1346676830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144742",
            "telephone_number": "410-420-6970",
            "fax_number": "410-420-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012617",
            "telephone_number": "215-660-3500",
            "fax_number": "215-277-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE URGENT CARE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-569-0044"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSTAT Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareSTAT Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Charles Madara, M.D.
• Malek Daniel Maddah, MD
• Renee Magida
• Katie Maguire, PA-C
• James Mahoney, MD
• Yasir Majeed, M.D.
• Mark Ibrahim Said Makar, MBBCH
• Rachael Malkiel, PA
• Joseph Stephen Mallon
• Daniel Maloney

• Urgent Care Clinic/Center in Abington, PA
• Providers in Abington, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.