Organization Active NPI

Morocco Hospital

  • Dentist
  • Baltimore, MD
National Provider Identifier
1245461078
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
85906809706706767986 Issued in NC
Legal business name
MOROCCO HOSPITAL
Practice address
614 Wyeth St
Baltimore, MD 21230-2522
Phone
(617) 998-7654
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Roberto Baggio
Title
Ceo
Phone
(718) 767-6543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 85906809706706767986 NC Primary

Addresses

Primary practice location

614 Wyeth St
Baltimore, MD 21230-2522

Mailing address

614 Wyeth St
Baltimore, MD 21230-2522

Other identifiers 1

IdentifierTypeStateIssuer
48590885-08505565666MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1245461078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WYETH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 WYETH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302522",
            "telephone_number": "617-998-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROCCO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "BAGGIO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-767-6543"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "85906809706706767986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48590885-08505565666",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.