Mid-Atlantic Rehabilitation Services, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MID-ATLANTIC REHABILITATION SERVICES, INC

Practice address

743 N 24TH St
Philadelphia, PA 19130-2539

Phone

(215) 763-3992

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Paul Macdonald

Title

Ceo

Phone

(215) 763-3992

Specialties & licenses 1

Addresses

Other names 1

• MARS-ATP Other name

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1396912440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 N 24TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-763-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 N 24TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-763-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-763-3992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARS-ATP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebekah Mickles, CRNA
• Matthew Micklow
• Matthew Adam Miclette, RN
• Amanda Catherine Micucio, D.O.
• Mid Atlantic Rehabilitation Services
• Mid-Atlantic Vein and Vascular Institute LLC
• Midatlantic Medevac LLC
• Middle Ground Solutions LLC
• Lynne Middleberg-Warszawski, RPH
• Harold L Middleberg, DMD

• Substance Use Disorder Rehabilitation Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.