MB INTEGRATIVE MEDICINE LLC (NPI# 1962872861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962872861 |
| Entity Type | Organization |
| Organization Name | MB INTEGRATIVE MEDICINE LLC |
| Practice Address |
6782 Germantown Ave Philadelphia PA 19119-2110 |
| Mailing Address |
6803 Emlen St Apt 209 Philadelphia PA 19119-2635 |
| Practice Telephone | 2675060642 |
| Practice Fax Number | 2675023000 |
| Mailing Telephone | 2675060642 |
| Mailing Fax Number | 2675023000 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. MELISSA BORRERO (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2675060642 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
6782 GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273890 | Sandpipermd, Inc. | Clinic/Center | 407 S 10th St Fl 2, Philadelphia, PA 19147-1274 | 2018-11-08 |
| 1255695334 | Flat Rock Health Medical Associates | Clinic/Center | 4026 Main St, Philadelphia, PA 19127-2112 | 2012-07-03 |
| 1164663050 | Rittenhouse Plastic Surgery, P.C. | Clinic/Center | 255 S 17th St Ste 2200, Medical Tower Building, Philadelphia, PA 19103-6221 | 2009-03-23 |
| 1326188970 | Philadelphia Va Medica Center | Clinic/Center | Padrecc, Philadelphia Va Medical Center, University and Woodland Avenue, Philadelphia, PA 19104 | 2007-02-06 |
| 1588107668 | Bustleton Healthcare | Clinic/Center | 9867 Bustleton Ave, Suite B, Philadelphia, PA 19115-2611 | 2016-11-22 |
| 1265983753 | Victoria Consulting Services, Inc | Clinic/Center | 9922 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2016-10-19 |
| 1669868725 | Philly As, LLC | Clinic/Center | 1500 Jfk Blvd, Ste 301, Philadelphia, PA 19102-1710 | 2015-04-15 |
| 1588973291 | Romeo S. Abella Md PC | Clinic/Center | 915 E Cayuga St, Philadelphia, PA 19124-3817 | 2010-09-29 |
| 1710200928 | Karen E. Agersbog, D.o. Associates, P.C. | Clinic/Center | 8815 Germantown Ave, Suite 14, Philadelphia, PA 19118-2722 | 2010-03-03 |
| 1568692598 | Qadar Khan Md and Associates,pc | Clinic/Center | 702 W Girard Ave, Philadelphia, PA 19123-1313 | 2009-07-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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| 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.