Capital Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0062946 Issued in MD

Legal business name

CAPITAL NEUROLOGY

Practice address

2730 Prosperity Ave Ste B
Fairfax, VA 22031-4330

Phone

(703) 289-1450

Fax

(703) 289-1414

NPI assigned

Nov 20, 2006

Last updated

Aug 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marc P Difazio, MDNPI 1972556462

Title

President

Phone

(301) 309-2211

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc P. Difazio, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Rockville, MD
  • NPI 1972556462
  Authorized official Same address or phone

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1225102502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR",
            "address_2": "SUITE 414",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503320",
            "telephone_number": "301-309-2211",
            "fax_number": "301-217-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314330",
            "telephone_number": "703-289-1450",
            "fax_number": "703-289-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "DIFAZIO",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-309-2211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0062946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Dysphagia Diagnostics LLC
• Capital Eye Consultants, P.C.
• Capital Heartfelt Meals Inc
• Capital Imaging Associates
• Capital Music Therapy Services, LLC
• Capitol Anesthesia Group LLC
• Kathryn Marie Cappell, MD
• Lorraine Cappelli, PT
• Cara Caputy, FNP
• Alexia Iris Carballo

• Neurology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.