Marlene G Desamito M D L L C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0053700 Issued in MD

Legal business name

MARLENE G DESAMITO M D L L C

Practice address

3311 Toledo Ter
Suite C105
Hyattsville, MD 20782-4135

Phone

(301) 559-2515

Fax

(301) 559-2517

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 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

Dr. Marlene G. Desamito, M.D.NPI 1760566996

Title

Owner

Phone

(240) 463-1547

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.

• Marlene Gabriel Desamito, M.D.

  • Pediatrics Physician
  • Hyattsville, MD
  • NPI 1760566996
  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1356516470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER",
            "address_2": "SUITE C 105",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824135",
            "telephone_number": "301-559-2515",
            "fax_number": "301-559-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER",
            "address_2": "SUITE C105",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824135",
            "telephone_number": "301-559-2515",
            "fax_number": "301-559-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE G DESAMITO M D L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "DESAMITO",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-463-1547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0053700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Lilian Marcia
• Nicole Tweneboa Marfo
• Yaw Marfo
• Mark Sugar, DPM, LLC
• Markon Transportation
• Nohemy Marquez Rivera
• Jeanice Melinda Marshall
• Josephine K Marshall
• Anita Lynette Martin, COTA
• April Nelson Martin, LCSW-C

• Primary Care Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.