Organization Active NPI

R E a L Concierge Medicine Co

  • Internal Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1487233870
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
R E A L CONCIERGE MEDICINE CO
Practice address
419 Johnson St
Jenkintown, PA 19046-2705
Phone
(215) 277-5450
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Kim M Guess
Title
Practice Manager
Phone
(215) 277-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

419 Johnson St
Jenkintown, PA 19046-2705

Mailing address

419 Johnson St
Jenkintown, PA 19046-2705
Phone (215) 277-5450

National Provider Directory

National Provider Directory

Locations

419 Johnson St
Jenkintown, PA 19046
Phone (215) 277-5450

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1487233870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 JOHNSON ST",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462705",
            "telephone_number": "215-277-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 JOHNSON ST",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462705",
            "telephone_number": "215-277-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R E A L CONCIERGE MEDICINE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "GUESS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "215-277-5450"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.