Northeast Family Medical and Rehabilitation Center, P.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

NORTHEAST FAMILY MEDICAL AND REHABILITATION CENTER, P.C

Practice address

1306 Cottman Ave
Philadelphia, PA 19111-3606

Phone

(215) 745-1212

Fax

(215) 745-4427

NPI assigned

May 3, 2007

Last updated

Jun 5, 2013By 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. Mark Brown, D.C.NPI 1710907712

Title

Owner

Phone

(215) 745-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Mark Brown, DC

  • Chiropractor
  • Phila, PA
  • NPI 1710907712
  Medicare reassignment NPD Authorized official
• David William Barnes, D.O.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1366466302
  Medicare reassignment NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1679795843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113606",
            "telephone_number": "215-745-1212",
            "fax_number": "215-745-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113606",
            "telephone_number": "215-745-1212",
            "fax_number": "215-745-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FAMILY MEDICAL AND REHABILITATION CENTER, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-745-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northeast Community Mental Health Center, Inc.
• Northeast Dental Center, P.C.
• Northeast Discount
• Northeast Family Foot Care, PC
• Northeast First Aid Corps.
• Northeast Foot and Ankle Specialists, PC
• Northeast Health Center
• Northeast Imaging Associates of Philadelphia, P.C.
• Northeast Medical and Rehabilitation Center, P.C.

• Rehabilitation Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.