NPIMap

Organization Active NPI

Quartet Medical Group

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1497438428
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
QUARTET MEDICAL GROUP
Practice address
1601 Market St Ste 1500
Philadelphia, PA 19103-2352
Phone
(267) 999-9534
NPI assigned
Aug 8, 2023
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Robert Wilson, MD
Title
President
Phone
(267) 999-9534

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1601 Market St Ste 1500
Philadelphia, PA 19103-2352

Mailing address

228 Park Ave S # 36149
New York, NY 10003-1502
Phone (267) 999-9534

Other practice location 1

11 Willow St Ste 11
Nashville, TN 37210-2356
Phone (267) 999-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829004076 PA Part B Supplier - Clinic/Group Practice 5294274536 Receives reassigned benefits from 18 practitioners
Practice locations: Narberth, PA; Pittsburgh, PA; Philadelphia, PA; MC Murray, PA; Honesdale, PA; Erie, PA; Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

142 Upper Cross Rd
Honesdale, PA 18431

11 Willow St
Ste 11
Nashville, TN 37210
Phone (267) 999-9534

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1497438428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S # 36149",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MARKET ST STE 1500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032352",
            "telephone_number": "267-999-9534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Willow St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372102356",
            "country_code": "US",
            "telephone_number": "267-999-9534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUARTET MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-999-9534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.