Organization Active NPI

Pediatric Gastroenterology of Greater Washington

  • Medical Specialty Clinic/Center
  • Rockville, MD
National Provider Identifier
1285872762
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0063257 Issued in MD
Legal business name
PEDIATRIC GASTROENTEROLOGY OF GREATER WASHINGTON
Practice address
2264 Glenmore Ter
Rockville, MD 20850-3051
Phone
(301) 251-0520
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Yuliya Rekhtman, MDNPI 1609851336
Title
Physician
Phone
(301) 251-0520

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
Medical Specialty Clinic/Center 261QM2500X D0063257 MD Primary

Addresses

Primary practice location

2264 Glenmore Ter
Rockville, MD 20850-3051

Mailing address

2264 Glenmore Ter
Rockville, MD 20850-3051
Phone (301) 251-0520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1285872762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 GLENMORE TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503051",
            "telephone_number": "301-251-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 GLENMORE TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503051",
            "telephone_number": "301-251-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY OF GREATER WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "REKHTMAN",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-251-0520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0063257",
            "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 Jan 22, 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.