CMP Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CMP MEDICAL LLC

Practice address

3626 Sears St
Philadelphia, PA 19146-3217

Phone

(609) 208-3232

Fax

(609) 208-3233

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine M Pluta, DONPI 1700833530

Title

Owner

Phone

(215) 913-0892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Practitioners 5

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.

• Christine Pluta, DO

  • Family Medicine Physician
  • Hamilton, NJ
  • NPI 1700833530

  PA

  Medicare reassignment NPD Authorized official
• Dana B Greenblatt, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1912943101
  NPD
• Christine Maloney, MSN, CRNP

  • Gerontology Nurse Practitioner
  • King of Prussia, PA
  • NPI 1720215890
  NPD
• Bridget A Walker, D.O.

  • Internal Medicine Physician
  • Yardley, PA
  • NPI 1932268802
  NPD
• Aliya Ali, M.D.

  • Internal Medicine Physician
  • Blue Bell, PA
  • NPI 1811021397
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1619587227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 SEARS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463217",
            "telephone_number": "609-208-3232",
            "fax_number": "609-208-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 SEARS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463217",
            "telephone_number": "609-208-3232",
            "fax_number": "609-208-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "PLUTA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-913-0892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clutch Consultations LLC
• Kylee Jane Clyatt, MD
• Marni Jill Clyman, CRNA
• William Arthur Clyman, DDS
• CMF Medical PLLC
• Co-Mhar Inc.
• Co-Mhar Inc.
• Daniel Coachi, MD
• Coast Anesthesia Practice PC
• Ja'Mes Bobby Coates

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.