NPIMap

Organization Active NPI

Advance Internal Medicine P C

  • Internal Medicine Physician
  • Olney, MD
National Provider Identifier
1255302659
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCE INTERNAL MEDICINE P C
Practice address
18121 George Ave
Suite #103
Olney, MD 20832
Phone
(301) 933-5050
Fax
(301) 949-3262
NPI assigned
Feb 1, 2006
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Daphna Henkin, MDNPI 1831160233
Title
President
Phone
(301) 933-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

18121 George Ave
Suite #103
Olney, MD 20832

Mailing address

18121 Georgia Ave
Suite #103
Olney, MD 20832-1437
Phone (301) 933-5050

Other names 1

  • ADVANCED INTERNAL MEDICINE P C Former legal business name

National Provider Directory

National Provider Directory

Locations

18121 Georgia Ave
Ste 102
Olney, MD 20832
Phone (301) 933-5050

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1255302659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18121 GEORGIA AVE",
            "address_2": "SUITE #103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321437",
            "telephone_number": "301-933-5050",
            "fax_number": "301-949-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 GEORGE AVE",
            "address_2": "SUITE #103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-933-5050",
            "fax_number": "301-949-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE INTERNAL MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "HENKIN",
        "authorized_official_first_name": "DAPHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-933-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED INTERNAL MEDICINE P C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.