Organization Active NPI

DRS. Accinelli, Alarcon, P.a.

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1154517399
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D000024 Issued in MD
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

Updated by the provider on Apr 14, 2017

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
911541200MedicaidMD

Other names 1

  • Dr. Accinelli, Ceccarelli & Alarcon, M.D, P.A. Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.