Medamerica Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDAMERICA GROUP

Practice address

6309 Ventnor Ave
Ventnor City, NJ 08406-2295

Phone

(609) 823-0555

Fax

(609) 823-0330

NPI assigned

Nov 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Peter Alexander, M.D., M.B.A.NPI 1316097223

Title

Medical Director

Phone

(913) 963-8535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Peter Alexander, M.D., MBA

  • Internal Medicine Physician
  • Ventnor City, NJ
  • NPI 1316097223
  Medicare reassignment NPD Authorized official
• Audrey Heist, R.D.

  • Registered Dietitian
  • Hammonton, NJ
  • NPI 1609041177
  NPD (past)
• Sara Adly Tadros, D.C.

  • Chiropractor
  • Ventnor City, NJ
  • NPI 1508160979
  NPD (past)

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

{
    "created_epoch": "1227744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1568617819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8602 FULTON AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021410",
            "telephone_number": "609-822-1604",
            "fax_number": "609-822-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062295",
            "telephone_number": "609-823-0555",
            "fax_number": "609-823-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAMERICA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-27",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-963-8535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love Life Food LLC
• Jessica Lucchio, PT, DPT
• Making Waves ABA
• Andrew McCullogh
• Frederick Patrick McLeish, RPH
• Medamerica Urgent Care LLC
• Nicole Meehan, LCADC
• Mario Menendez, MD
• Joseph N. Micale, M.D.
• Gregory J Mowen

• Clinic/Center in Ventnor City, NJ
• Providers in Ventnor City, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.