Organization Active NPI

Timothy Rhyme MD LLC

Doing business as agape medical center

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1629007943
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MAO61190 Issued in NJ
Legal business name
TIMOTHY RHYME MD LLC
Doing business as
agape medical center
Practice address
525 Route 73 S Ste 106
Marlton, NJ 08053-9631
Phone
(856) 507-9320
Fax
(856) 507-9327
NPI assigned
Jun 30, 2006
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Timothy Lamar Rhyme, MDNPI 1992734974
Title
Member
Phone
(856) 507-9320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MAO61190 NJ Primary

Addresses

Primary practice location

525 Route 73 S Ste 106
Marlton, NJ 08053-9631

Mailing address

525 Route 73 S Ste 106
Marlton, NJ 08053-9631
Phone (856) 507-9320

Other identifiers 1

IdentifierTypeStateIssuer
RH7112009MedicaidNJ

Other names 1

  • agape medical center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000542 NJ Part B Supplier - Clinic/Group Practice 2466456744 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

525 Route 73 S
Ste 106
Marlton, NJ 08053
Phone (856) 507-9320

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1629007943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 106",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539631",
            "telephone_number": "856-507-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 106",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539631",
            "telephone_number": "856-507-9320",
            "fax_number": "856-507-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY RHYME MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "RHYME",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-507-9320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MAO61190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RH7112009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "agape medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.