NPIMap

Organization Active NPI

Royal Medical LLC

  • Family Medicine Physician
  • South Milwaukee, WI
National Provider Identifier
1720667819
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROYAL MEDICAL LLC
Practice address
3601 S Chicago Ave
South Milwaukee, WI 53172-3708
Phone
(414) 570-5410
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Tareq Maraqa, MDNPI 1134568181
Title
Owner
Phone
(480) 619-7081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3601 S Chicago Ave
South Milwaukee, WI 53172-3708

Mailing address

7432 S 69TH St
Franklin, WI 53132-8205
Phone (480) 619-7081

National Provider Directory

National Provider Directory

Locations

7770 N Port Washington Rd
Fox Point, WI 53217
Phone (800) 842-9872

N109W17525 Virginia Ave
Germantown, WI 53022
Phone (262) 345-5990

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": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1720667819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 S 69TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328205",
            "telephone_number": "480-619-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723708",
            "telephone_number": "414-570-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "MARAQA",
        "authorized_official_first_name": "TAREQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-619-7081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.