Meetinghouse Family Physicians PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA0368900 Issued in NJ

Legal business name

MEETINGHOUSE FAMILY PHYSICIANS PA

Practice address

105 Evesboro Medford Rd Ste I
Marlton, NJ 08053-3865

Phone

(856) 596-9050

Fax

(856) 596-0320

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Paula Tonzello

Title

Office Manager

Phone

(856) 596-9050

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Meetinghouse Family Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meetinghouse Family Physicians PA

  • Non-Pharmacy Dispensing Site
  • Marlton, NJ
  • NPI 1568895522
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: drdeguzman@mfp.azalea.phimailbox.com

Practitioners 1

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

• Ronaldo Cruz De Guzman, D.O.

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1659478212
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1861590978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD STE I",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "856-596-9050",
            "fax_number": "856-596-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD STE I",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "856-596-9050",
            "fax_number": "856-596-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEETINGHOUSE FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "TONZELLO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-596-9050"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA0368900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "10004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0837097001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Health Clinic LLC
• Medrehab and Spine Associates
• Medtalents, Inc.
• Hillary Colleen Meehan, MSN, RN, AGNP-C
• Meetinghouse Family Physicians PA
• Meghan Murphy Schmelzer Caruso, DO, L.L.C.
• Amina Mehrab, M.D
• Anokhi D. Mehta, MD
• Carlo Bruno Melini, MD
• Melissa Acquavella-Lightfoot, LLC

• Family Medicine Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.