Individual provider Active NPI

Joselito Duran Magday, MD

  • Adult Medicine Physician
  • Beltsville, MD
National Provider Identifier
1376541623
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D013687 Issued in MD
Practice address
11701 Roby Ave
Beltsville, MD 20705-1509
Phone
(301) 937-5452
Fax
(301) 937-5453
NPI assigned
Jul 11, 2005
Reactivated
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X D013687 MD Primary

Addresses

Primary practice location

11701 Roby Ave
Beltsville, MD 20705-1509

Mailing address

7994 Martown Rd
Laurel, MD 20723-1148
Phone (301) 953-7346

Other identifiers 1

IdentifierTypeStateIssuer
016981100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D013687MDMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1376541623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7994 MARTOWN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231148",
            "telephone_number": "301-953-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 ROBY AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051509",
            "telephone_number": "301-937-5452",
            "fax_number": "301-937-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDAY",
        "first_name": "JOSELITO",
        "middle_name": "DURAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-02-19",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D013687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016981100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.