Organization Active NPI

Marcelino D. Albuerne, M.D. P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Catonsville, MD
National Provider Identifier
1316155377
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D29769 Issued in MD
Legal business name
MARCELINO D. ALBUERNE, M.D. P.A.
Practice address
516 N Rolling Rd
Suite 106
Catonsville, MD 21228-4140
Phone
(410) 744-4044
Fax
(410) 744-7923
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Mrs. Lesa Marie Bereznay
Title
Practice Administrator
Phone
(410) 744-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X D29769 MD Primary

Addresses

Primary practice location

516 N Rolling Rd
Suite 106
Catonsville, MD 21228-4140

Mailing address

516 N Rolling Rd
Suite 106
Catonsville, MD 21228-4140
Phone (410) 744-4044

Other identifiers 5

IdentifierTypeStateIssuer
342001900OtherMDMEDICAL ASSISTANCE (SOLO # LINKED TO NPI 2)
DQ3021 (GROUP)OtherGARAILROAD MEDICARE
R704 (GROUP)OtherDCCAREFIRST
587P (GROUP)OtherMDMEDICARE
1157MD (GROUP)OtherMDCAREFIRST

National Provider Directory

National Provider Directory

Locations

1940 W Baltimore St
Ste 4
Baltimore, MD 21223
Phone (410) 362-3330

516 N Rolling Rd
Ste 106
Catonsville, MD 21228
Phone (410) 744-4044

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1316155377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "SUITE 106",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284140",
            "telephone_number": "410-744-4044",
            "fax_number": "410-744-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "SUITE 106",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284140",
            "telephone_number": "410-744-4044",
            "fax_number": "410-744-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELINO D. ALBUERNE, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "BEREZNAY",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-744-4044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D29769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE (SOLO # LINKED TO NPI 2)",
            "identifier": "342001900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ3021 (GROUP)",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "R704 (GROUP)",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "587P (GROUP)",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "1157MD (GROUP)",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.