NPIMap

Organization Active NPI

3Rdroom Enterprises

  • Family Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1104404813
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
3RDROOM ENTERPRISES
Practice address
7100 Chesapeake Rd Ste 101
Hyattsville, MD 20784-2353
Phone
(718) 781-0585
Fax
(754) 212-0473
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sorelle CooperNPI 1205146362
Title
Owner
Phone
(718) 781-0585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7100 Chesapeake Rd Ste 101
Hyattsville, MD 20784-2353

Mailing address

1506 Danwood LN
Bowie, MD 20721-3230
Phone (718) 781-0585

Other names 1

  • 3R Medical Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

7100 Chesapeake Rd
Ste 101
Hyattsville, MD 20784
Phone (718) 781-0585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1104404813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 DANWOOD LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213230",
            "telephone_number": "718-781-0585",
            "fax_number": "754-212-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CHESAPEAKE RD STE 101",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842353",
            "telephone_number": "718-781-0585",
            "fax_number": "754-212-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3RDROOM ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SORELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-781-0585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3R Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.