MELROSE MEDICAL ASSOCIATES PC (NPI# 1417063249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417063249 |
| Entity Type | Organization |
| Organization Name | MELROSE MEDICAL ASSOCIATES PC |
| Practice Address |
921 W Cheltenham Avenue Melrose Park PA 19027 |
| Practice Telephone | 2156354902 |
| Practice Fax Number | 2156352565 |
| Mailing Telephone | 2156354902 |
| Mailing Fax Number | 2156352565 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL COOPERMAN (PHYSICIAN) |
| Authorized Official Telephone | 2156354902 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
921 W CHELTENHAM AVENUE |
| City | MELROSE PARK |
| State | PA |
| Zip Code | 19027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817915 | Dulie Rene | Nurse Practitioner | 7801 Old York Road, Elkins Park, PA 19027 | 2020-03-26 |
| 1003384926 | Mikael Laursen Brucker | Acupuncturist | 710 Meetinghouse Rd, Elkins Park, PA 19027 | 2018-11-08 |
| 1992289466 | Paragon Home Care LLC | In Home Supportive Care | 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 | 2018-09-20 |
| 1932697406 | Elkins Park Chiropractic Center LLC | Chiropractor | 1831 W. Cheltenham Ave, Elkins Park, PA 19027 | 2018-04-30 |
| 1952802589 | Bilingual Brain Inc. | Speech-Language Pathologist | 610 Old York Road Suite 400, Jenkintown, PA 19027 | 2018-02-28 |
| 1063925618 | Love Thy Neighbor Care Service, LLC | In Home Supportive Care | 939 Township Line Rd Unit 3, Elkins Park, PA 19027 | 2017-11-06 |
| 1679029821 | Mosley Group Inc | Home Health | 7208 Chestnut Ave, 1, Melrose Park, PA 19027 | 2016-08-28 |
| 1740638576 | Einstein Medical Center | Specialist | 60 Township Line Road, Elkins Park, PA 19027 | 2016-06-02 |
| 1457720385 | Effraim Home Care Agency LLC | Home Health | 2001a South John Russell Circle, Elkins Park, PA 19027 | 2015-09-22 |
| 1083044531 | Liberty Human Services, LLC | Community/Behavioral Health | 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 | 2013-11-20 |
| Find all providers in zip 19027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027456 | Vital Signs Management LLC | Family Medicine | 2225 W North Ave Ste 1, Melrose Park, IL 60160-1107 | 2019-05-06 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| 1346414307 | Naaz Fatima Aziz | Family Medicine | 675 W North Ave Ste 414, Melrose Park, IL 60160-1626 | 2008-04-21 |
| 1043355670 | Roya Family Medical Center Ltd | Family Medicine | 714 N Broadway Ave., Melrose Park, IL 60160 | 2007-02-21 |
| 1477604791 | Michelle J Alexandre | Family Medicine | 808 Broadway St, Melrose Park, IL 60160-3744 | 2007-01-15 |
| 1306901400 | Joseph L Giacchino Jr. | Family Medicine | 1252 Winston Plaza, Melrose Park, IL 60160 | 2006-12-27 |
| 1073511143 | Yolanda Cardenas | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2005-07-12 |
| 1760027999 | Nayely Gomez | Family Medicine | 153 1/2 N 19th Ave, Melrose Park, IL 60160 | 2019-11-12 |
| 1811334626 | Yesenia Arce | Family Medicine | 1111 Superior St Ste 101, Melrose Park, IL 60160-4100 | 2013-06-03 |
| 1649578238 | Reynaldo M. Caluag Md Sc | Family Medicine | 1111 Superior St, Suite 411, Melrose Park, IL 60160-4138 | 2011-03-04 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 19027 |
Please comment or provide details below to improve the information on MELROSE MEDICAL ASSOCIATES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.