Active NPI
DRS. Accinelli, Alarcon, P.a.
- Specialist
- Glen Burnie, MD
National Provider Identifier
1154517399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D000024
- Legal business name
- DRS. ACCINELLI, ALARCON, P.A.
- Practice address
- 325 Hospital Drive
Suite 209
Glen Burnie, MD 21061-5807 - Phone
- (410) 766-5656
- Fax
- (410) 766-6919
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos Alarcon, M.D.
- Title
- Owner
- Phone
- (410) 766-5656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D000024 | MD | Primary |
Addresses
Primary practice location
325 Hospital Drive
Suite 209
Glen Burnie, MD 21061-5807
Mailing address
325 Hospital Drive
Suite 209
Glen Burnie, MD 21061-5807
Phone (410) 766-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911541200 | Medicaid | MD |
Other names 1
- Dr. Accinelli, Ceccarelli & Alarcon, M.D, P.A.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492128000000",
"number": "1154517399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 HOSPITAL DRIVE",
"address_2": "SUITE 209",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615807",
"telephone_number": "410-766-5656",
"fax_number": "410-766-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 HOSPITAL DRIVE",
"address_2": "SUITE 209",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615807",
"telephone_number": "410-766-5656",
"fax_number": "410-766-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. ACCINELLI, ALARCON, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2017-04-14",
"status": "A",
"authorized_official_last_name": "ALARCON",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-766-5656",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D000024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "911541200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Accinelli, Ceccarelli & Alarcon, M.D, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.