Eliezer Trybuch DPM,LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P000430 Issued in MD

Legal business name

ELIEZER TRYBUCH DPM,LLC

Practice address

12121 New Hampshire Avenue
Silver Spring, MD 20904-2868

Phone

(301) 622-3040

Fax

(301) 622-0779

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eliezer Trybuch, DPMNPI 1528252830

Title

Owner

Phone

(202) 543-0035

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eliezer Trybuch, DPM

  • Podiatrist
  • North Potomsc, MD
  • NPI 1528252830
  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1235156290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 C ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034302",
            "telephone_number": "202-543-0035",
            "fax_number": "301-251-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 NEW HAMPSHIRE AVENUE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042868",
            "telephone_number": "301-622-3040",
            "fax_number": "301-622-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIEZER TRYBUCH DPM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "TRYBUCH",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-543-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "P000430",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "DC",
            "license": "P0295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011323100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.