Organization Active NPI

The Medicine Team, LLC

  • Internal Medicine Physician
  • Marlton, NJ
National Provider Identifier
1629431812
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB07397400 Issued in NJ
Legal business name
THE MEDICINE TEAM, LLC
Practice address
750 Route 73
Suite 108
Marlton, NJ 08053
Phone
(856) 596-2222
Fax
(856) 596-2244
NPI assigned
Apr 4, 2016
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Michael Kleinman, DO
Title
Owner
Phone
(856) 596-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07397400 NJ Primary

Addresses

Primary practice location

750 Route 73
Suite 108
Marlton, NJ 08053

Mailing address

750 Route 73 S
Suite 108
Marlton, NJ 08053-4141
Phone (856) 596-2222

National Provider Directory

National Provider Directory

Locations

750 Route 73 S
Ste 108
Marlton, NJ 08053
Phone (856) 596-2222

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1629431812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S",
            "address_2": "SUITE 108",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534141",
            "telephone_number": "856-596-2222",
            "fax_number": "856-596-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73",
            "address_2": "SUITE 108",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-2222",
            "fax_number": "856-596-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-596-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07397400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2016; 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.