Organization Active NPI

Clubmdnow

  • Exclusive Provider Organization
  • Virginia Beach, VA
National Provider Identifier
1871311159
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CLUBMDNOW
Practice address
941 Bobolink Dr
Virginia Beach, VA 23451-4945
Phone
(757) 404-0296
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Julie Rekant
Title
Manager
Phone
(757) 404-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

941 Bobolink Dr
Virginia Beach, VA 23451-4945

Mailing address

300 32ND St Ste 420
Virginia Beach, VA 23451-2968
Phone (757) 404-0073

National Provider Directory

National Provider Directory

Locations

300 32nd St
Ste 420
Virginia Beach, VA 23451

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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1871311159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 32ND ST STE 420",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512968",
            "telephone_number": "757-404-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 BOBOLINK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514945",
            "telephone_number": "757-404-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUBMDNOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "REKANT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-404-0073"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.