NPIMap

Organization Active NPI

Jeffrey a. London MD PC

  • Medical Specialty Clinic/Center
  • Troy, MI
National Provider Identifier
1861708257
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301040691 Issued in MI
Legal business name
JEFFREY A. LONDON MD PC
Practice address
2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3407
Phone
(248) 646-6659
Fax
(248) 642-8645
NPI assigned
Aug 24, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Jeffrey A, London, MDNPI 1285645929
Title
President
Phone
(248) 646-6659

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
Medical Specialty Clinic/Center 261QM2500X 4301040691 MI Primary

Addresses

Primary practice location

2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3407

Mailing address

2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3407
Phone (248) 646-6659

National Provider Directory

National Provider Directory

Locations

2075 W Big Beaver Rd
Ste 520
Troy, MI 48084
Phone (248) 646-6659

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1861708257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 W BIG BEAVER RD",
            "address_2": "SUITE 520",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843407",
            "telephone_number": "248-646-6659",
            "fax_number": "248-642-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W BIG BEAVER RD",
            "address_2": "SUITE 520",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843407",
            "telephone_number": "248-646-6659",
            "fax_number": "248-642-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. LONDON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A,",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-646-6659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301040691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.