Active NPI
Marc J. Medway MD PC
- Specialist
- Philadelphia, PA
National Provider Identifier
1861597312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD020951E
- Legal business name
- MARC J. MEDWAY MD PC
- Practice address
- 7600 Central Ave
Philadelphia, PA 19111-2442 - Phone
- (215) 728-3736
- Fax
- (215) 728-3354
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc J Medway, MD
- Title
- President
- Phone
- (215) 542-7260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD020951E | PA | Primary |
Addresses
Primary practice location
7600 Central Ave
Philadelphia, PA 19111-2442
Mailing address
PO Box 602
Gwynedd Valley, PA 19437-0602
Phone (215) 542-7260
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1275534638
-
- Physician Assistant
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- NPI 1992883177
-
- Physical Medicine & Rehabilitation Physician
- Wilmington, DE
- NPI 1700830148
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1164492849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1861597312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "GWYNEDD VALLEY",
"state": "PA",
"postal_code": "194370602",
"telephone_number": "215-542-7260",
"fax_number": "215-542-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CENTRAL AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112442",
"telephone_number": "215-728-3736",
"fax_number": "215-728-3354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC J. MEDWAY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "MEDWAY",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-542-7260",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": "MD020951E",
"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 Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.