Organization Active NPI

Joseph D'Antonio Jr., M.D., PHD, P.a.

  • Cardiovascular Disease Physician
  • Timonium, MD
National Provider Identifier
1356538474
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JOSEPH D'ANTONIO JR., M.D., PHD, P.A.
Practice address
2205 York Rd
Suite 101
Timonium, MD 21093-3163
Phone
(410) 296-3416
Fax
(410) 296-1796
NPI assigned
Oct 2, 2007
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Joseph D'Antonio Jr., M.D.NPI 1174560643
Title
Doctor
Phone
(410) 879-3336

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
Cardiovascular Disease Physician 207RC0000X MD Primary

Addresses

Primary practice location

2205 York Rd
Suite 101
Timonium, MD 21093-3163

Mailing address

2205 York Rd
Suite 101
Timonium, MD 21093-3163
Phone (410) 296-3416

Other identifiers 1

IdentifierTypeStateIssuer
058991800MedicaidMD

National Provider Directory

National Provider Directory

Locations

2205 York Rd
Ste 101
Timonium, MD 21093
Phone (410) 296-3416

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1356538474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 YORK RD",
            "address_2": "SUITE 101",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933163",
            "telephone_number": "410-296-3416",
            "fax_number": "410-296-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 YORK RD",
            "address_2": "SUITE 101",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933163",
            "telephone_number": "410-296-3416",
            "fax_number": "410-296-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D'ANTONIO JR., M.D., PHD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "D'ANTONIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-879-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058991800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.