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PHILLYMEDCLUB PLLC
NPI 1912642703
Family Medicine in Philadelphia, PA

Active since May 05, 2022
1300 N 2ND ST OFC 101, PHILADELPHIA, PA 19122(215) 776-7308 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Phillymedclub Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLYMEDCLUB PLLC (NPI 1912642703) is a healthcare organization registered as a family medicine in Philadelphia, Pennsylvania and active in the NPI registry since May 2022. The organization lists Wayne Christopher Raneiro, Cmo, as its authorized official.

NPPES Registry Identity

NPI1912642703
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHILLYMEDCLUB PLLC
Location Address1300 N 2ND ST OFC 101Philadelphia, PA 19122-4594
Mailing Address1300 N 2nd St Ofc 101Philadelphia, PA 19122-4594 · (215) 776-7308
Phone(215) 776-7308
Organization SubpartNo
Authorized OfficialWayne Christopher RaneiroCmo · (215) 776-7308
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1912642703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1300 N 2ND ST OFC 101, Philadelphia, PA 19122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillymedclub PLLC's NPI number?

The NPI number for Phillymedclub PLLC is 1912642703. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Phillymedclub PLLC located?

Phillymedclub PLLC is located at 1300 N 2nd St Ofc 101, Philadelphia, PA 19122. The listed phone number is (215) 776-7308.

What is Phillymedclub PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Phillymedclub PLLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.