Medically Assisted Recovery Services Inc
NPI 1770960882 · Addiction Medicine (Internal Medicine) Physician · Philadelphia, PA
Medically Assisted Recovery Services Inc is a Addiction Medicine (Internal Medicine) Physician organization in Philadelphia, PA (NPI 1770960882).
Provider details
- NPI number
- 1770960882
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jan Widerman, Physician(215) 969-6277
- License
- OS004029L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2015-07-06
Frequently asked questions
- What is Medically Assisted Recovery Services Inc's NPI number?
- Medically Assisted Recovery Services Inc's National Provider Identifier (NPI) is 1770960882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medically Assisted Recovery Services Inc?
- Medically Assisted Recovery Services Inc is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Medically Assisted Recovery Services Inc located?
- Medically Assisted Recovery Services Inc's practice location on file with NPPES is 10802 Bustleton Ave, Philadelphia, PA 19116-3302.
- What is Medically Assisted Recovery Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Medically Assisted Recovery Services Inc is (215) 969-6277.
- Who is the authorized official for Medically Assisted Recovery Services Inc?
- The authorized official listed on Medically Assisted Recovery Services Inc's NPPES record is Jan Widerman, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medically Assisted Recovery Services Inc's NPI active?
- Yes — Medically Assisted Recovery Services Inc's NPI (1770960882) is active in the NPPES registry as of the last update on 2015-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.