NPIMap

Organization Active NPI

Matthew P Mardiney MD PC

  • Allergy & Immunology Physician
  • Bel Air, MD
National Provider Identifier
1174881098
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0054372 Issued in MD
Legal business name
MATTHEW P MARDINEY MD PC
Practice address
2225 Old Emmorton Rd
Suite 111
Bel Air, MD 21015-6129
Phone
(443) 857-9829
NPI assigned
Apr 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Matthew P Mardiney, MDNPI 1144271073
Title
President
Phone
(443) 857-9829

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X D0054372 MD Primary

Addresses

Primary practice location

2225 Old Emmorton Rd
Suite 111
Bel Air, MD 21015-6129

Mailing address

PO Box 813
Bel Air, MD 21014-0813
Phone (443) 857-9829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000111 MD Part B Supplier - Clinic/Group Practice 7911163464 Receives reassigned benefits from 8 practitioners
Practice locations: Bel Air, MD; Lutherville, MD

National Provider Directory

National Provider Directory

Locations

2225 Old Emmorton Rd
Bel Air, MD 21015
Phone (410) 508-0722

1300 York Rd
Ste 30
Lutherville Timonium, MD 21093

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

Practitioners & affiliated clinicians

Practitioners 8

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": "1335571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1174881098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140813",
            "telephone_number": "443-857-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD",
            "address_2": "SUITE 111",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156129",
            "telephone_number": "443-857-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW P MARDINEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-28",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "MARDINEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-857-9829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0054372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.