OrganizationAcademy Road Medical Associates, Llc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address10431 Academy Rd, Suite J, Philadelphia, PA 19114-1126(215) 637-4300PECOS EnrollmentBased on the most recent information from CMS, provider Academy Road Medical Associates, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265631626Provider TypeOrganizationFull NameAcademy Road Medical Associates, LlcOther Name<Unavail>SubpartNoEnumeration Date7/16/2007Last Updated2/2/2010Contact InformationPractice LocationPractice Address10431 Academy Rd, Suite J, Philadelphia, PA 19114-1126Phone(215) 637-4300Fax(215) 637-8507Mailing LocationMailing Address10431 Academy Rd, Suite J, Philadelphia, PA 19114-1126Phone(215) 637-4300Fax(215) 637-8507Authorized OfficialNameSchecter, Herbert M. (Sole Propriator)Phone(215) 637-4300Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID001258599DescriptionMedicaidIssuerUnlistedPennsylvania