Individual provider Active NPI

Marijo Cosmas, MS, RN, AOCN, CRNP

  • Acute Care Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1235126178
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R059234 Issued in MD
Practice address
301 Steeple Chase Dr
Suite 404
Prince Frederick, MD 20678-4049
Phone
(410) 535-2811
Fax
(410) 535-1865
NPI assigned
Oct 5, 2005
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R059234 MD Primary

Addresses

Primary practice location

301 Steeple Chase Dr
Suite 404
Prince Frederick, MD 20678-4049

Mailing address

301 Steeple Chase Dr
Suite 404
Prince Frederick, MD 20678-4049
Phone (410) 535-2811

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vascular Medicine NJ, LLC Past Accepting new patients
Calvert Health Ventures Inc Past Accepting new patients
Center for Vascular Medicine LLC Past Accepting new patients
Chesapeake Vein Clinic, LLC Past Accepting new patients
Center for Interventional Medicine, LLC PastSince Jul 2, 2011 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18691/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1235126178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STEEPLE CHASE DR",
            "address_2": "SUITE 404",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784049",
            "telephone_number": "410-535-2811",
            "fax_number": "410-535-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STEEPLE CHASE DR",
            "address_2": "SUITE 404",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784049",
            "telephone_number": "410-535-2811",
            "fax_number": "410-535-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSMAS",
        "first_name": "MARIJO",
        "credential": "MS, RN, AOCN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R059234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.