NPIMap

Organization Active NPI

Luxxery Corporation of Maryland

  • Ambulatory Surgical Clinic/Center
  • Waldorf, MD
National Provider Identifier
1114168192
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
D0035306 Issued in MD
Legal business name
LUXXERY CORPORATION OF MARYLAND
Practice address
3010 Crain Hwy
Suite 400
Waldorf, MD 20601-2801
Phone
(301) 843-9769
Fax
(301) 843-8941
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Dr. Ayman Hakki, M.D.
Title
President
Phone
(301) 843-9769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X D0035306 MD Primary

Addresses

Primary practice location

3010 Crain Hwy
Suite 400
Waldorf, MD 20601-2801

Mailing address

3010 Crain Highway
Suite 400
Waldorf, MD 20601
Phone (301) 843-9769

Other names 1

  • Luxxery Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 21C0001501

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LUXXERY CORPORATION OF MARYLAND
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 30, 2009
Last certification
Apr 14, 2021
Ownership / control type
Proprietary
Facility address
3010 Crain Highway, Suite 400
Waldorf, MD 20601

National Provider Directory

National Provider Directory

Locations

3010 Crain Hwy
Ste 400
Waldorf, MD 20601
Phone (301) 843-9769

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1114168192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 CRAIN HIGHWAY",
            "address_2": "SUITE 400",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-843-9769",
            "fax_number": "301-843-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 CRAIN HWY",
            "address_2": "SUITE 400",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012801",
            "telephone_number": "301-843-9769",
            "fax_number": "301-843-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXXERY CORPORATION OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "HAKKI",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-843-9769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "D0035306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxxery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.