T. Joseph Mardelli MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0023521 Issued in MD

Legal business name

T. JOSEPH MARDELLI MD PA

Practice address

3001 South Hanover St
Baltimore, MD 21225-1290

Phone

(410) 350-3200

Fax

(410) 350-2010

NPI assigned

Sep 26, 2006

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Talaat Joseph Mardelli, MDNPI 1134297716

Title

President

Phone

(443) 275-1676

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Talaat Joseph Mardelli, MD

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1134297716
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1346341666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WYNDAM COURT",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933715",
            "telephone_number": "443-275-1676",
            "fax_number": "443-275-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SOUTH HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251290",
            "telephone_number": "410-350-3200",
            "fax_number": "410-350-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. JOSEPH MARDELLI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MARDELLI",
        "authorized_official_first_name": "TALAAT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-275-1676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0023521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.