Phillymedclub PLLC
NPI 1912642703 · Family Medicine Physician · Philadelphia, PA
Phillymedclub PLLC is a Family Medicine Physician organization in Philadelphia, PA (NPI 1912642703).
Provider details
- NPI number
- 1912642703
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wayne Raneiro, Cmo(215) 776-7308
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
4 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
- 2022-05-05
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Frequently asked questions
- What is Phillymedclub PLLC's NPI number?
- Phillymedclub PLLC's National Provider Identifier (NPI) is 1912642703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phillymedclub PLLC?
- Phillymedclub PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Phillymedclub PLLC located?
- Phillymedclub PLLC's practice location on file with NPPES is 1300 N 2nd St Ofc 101, Philadelphia, PA 19122-4594.
- What is Phillymedclub PLLC's phone number?
- The practice phone number listed in the NPPES registry for Phillymedclub PLLC is (215) 776-7308.
- Who is the authorized official for Phillymedclub PLLC?
- The authorized official listed on Phillymedclub PLLC's NPPES record is Wayne Raneiro, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phillymedclub PLLC's NPI active?
- Yes — Phillymedclub PLLC's NPI (1912642703) is active in the NPPES registry as of the last update on 2022-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.