Organization Active NPI

Family Center for Allergy and Asthma LLC

  • Allergy & Immunology Physician
  • Rockville, MD
National Provider Identifier
1285326611
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
FAMILY CENTER FOR ALLERGY AND ASTHMA LLC
Practice address
15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256
Phone
(240) 243-6115
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Authorized official

Name
Gina Dapul-Hidalgo, MDNPI 1952592818
Title
Physician
Phone
(240) 243-6115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256

Mailing address

PO Box 34066
Bethesda, MD 20827-0066
Phone (240) 243-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230623001813 DC Part B Supplier - Clinic/Group Practice 2264890276 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

9015 Shady Grove Ct
Gaithersburg, MD 20877
Phone (301) 850-4468

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1285326611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34066",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208270066",
            "telephone_number": "240-243-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506256",
            "telephone_number": "240-243-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTER FOR ALLERGY AND ASTHMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "DAPUL-HIDALGO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "240-243-6115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.