Individual provider Active NPI

Marc Zhang, DNP, MD(ECFMG-C), MS

  • Adult Health Nurse Practitioner
  • Bladensburg, MD
National Provider Identifier
1407226889
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R221543 Issued in MD
Practice address
5632 Annapolis Rd Ste 4
Bladensburg, MD 20710-2213
Phone
(301) 851-5766
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R221543 MD
Primary Care Nurse Practitioner 363LP2300X RN1045164 DC
Adult Health Nurse Practitioner 363LA2200X R221543 MD Primary

Addresses

Primary practice location

5632 Annapolis Rd Ste 4
Bladensburg, MD 20710-2213

Mailing address

13623 Baltimore Ave
Laurel, MD 20707-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218002472 DC Practitioner - Nurse Practitioner 0749580769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5632 Annapolis Rd
Bladensburg, MD 20710-2213
Phone (301) 851-5766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1045164DCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Dermatology CurrentSince Sep 30, 2021 Accepting new patients
City Dermatology, LLC Dermatology CurrentSince Nov 10, 2024 Accepting new patients
City Dermatology, LLC Dermatology CurrentSince Jan 4, 2019 Accepting new patients

Locations

5632 Annapolis Rd
Ste 4
Bladensburg, MD 20710
Phone (301) 264-7100

13623 Baltimore Ave
Laurel, MD 20707
Phone (301) 327-5178

95 Woodstown Rd
Ste B
Swedesboro, NJ 08085
Phone (856) 358-1500

Organizations & group practices 3

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1407226889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13623 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD STE 4",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "301-851-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DNP, MD(ECFMG-C), MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R221543",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "RN1045164",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R221543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

Verify at the official NPI Registry.