Rheumatology Medical Specialists PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

RHEUMATOLOGY MEDICAL SPECIALISTS PC

Practice address

1088 W Baltimore Pike
Suite 2105
Media, PA 19063-5146

Phone

(610) 565-2415

Fax

(484) 444-0111

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Marco A Albornoz, MDNPI 1255414207

Title

Owner

Phone

(610) 565-2415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Marco A Albornoz, MD

  • Rheumatology Physician
  • Media, PA
  • NPI 1255414207
  Medicare reassignment NPD Authorized official
• Erin Kathleen Threlfall, CRNP

  • Family Nurse Practitioner
  • Media, PA
  • NPI 1316823925
  Medicare reassignment NPD

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1669877882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-2415",
            "fax_number": "484-444-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-2415",
            "fax_number": "484-444-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY MEDICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "ALBORNOZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-565-2415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Physical Therapy LLC
• Mark Thomas Reutter, D.O.
• Courtney Reynolds
• Leah Reynolds, MSW,LSW
• Rheumatology Care Center PLLC
• Andrew Rice, LPC
• Emily I Rice, PHARMD
• Jennifer Rice, LMFT
• Todd Rice, D.P.M.
• Richard C Barton DMD

• Rheumatology Physician in Media, PA
• Providers in Media, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.