Organization Active NPI

RJ Associates LLC

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1932368297
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RJ ASSOCIATES LLC
Practice address
5751 Preston Highway
Suite 101
Louisville, KY 40219
Phone
(502) 964-7770
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Riccy Mederos
Title
Member
Phone
(305) 632-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5751 Preston Highway
Suite 101
Louisville, KY 40219

Mailing address

5751 Preston Highway
Suite 101
Louisville, KY 40219
Phone (502) 964-7770

National Provider Directory

National Provider Directory

Locations

5751 Preston Hwy
Ste 101
Louisville, KY 40219
Phone (502) 807-4110

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1932368297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 PRESTON HIGHWAY",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-964-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 PRESTON HIGHWAY",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-964-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MEDEROS",
        "authorized_official_first_name": "RICCY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-632-8350"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.