Organization Active NPI

M&R Medical Group

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1679215586
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
M&R MEDICAL GROUP
Practice address
2300 S Broad St Ste 201
Philadelphia, PA 19145-4462
Phone
(561) 704-6781
Fax
(561) 209-0868
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Randy Herfield
Title
Ceo
Phone
(561) 704-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2300 S Broad St Ste 201
Philadelphia, PA 19145-4462

Mailing address

14280 S Military TRL Unit 7838
Delray Beach, FL 33482-5083
Phone (561) 704-6781

National Provider Directory

National Provider Directory

Locations

2300 S Broad St
Ste 201
Philadelphia, PA 19145
Phone (215) 463-2100

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1679215586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 S MILITARY TRL UNIT 7838",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334825083",
            "telephone_number": "561-704-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S BROAD ST STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454462",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&R MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.