NPIMap

Organization Active NPI

Friendship Pediatrics, PA

  • Pediatric Adolescent Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1427280817
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D0036558 Issued in MD
Legal business name
FRIENDSHIP PEDIATRICS, PA
Practice address
4601 N Park Ave
@ The Elizabeth Arcade BLDG.
Chevy Chase, MD 20815-4519
Phone
(301) 656-2745
Fax
(301) 718-7681
NPI assigned
Aug 18, 2009
Last updated
Aug 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Leah Brasch, M.D.NPI 1730125634
Title
M.D.
Phone
(301) 656-2745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0036558 MD Primary

Addresses

Primary practice location

4601 N Park Ave
@ The Elizabeth Arcade BLDG.
Chevy Chase, MD 20815-4519

Mailing address

4601 North Park Ave
@ The Elizabeth Arcade BLDG.
Chevy Chase, MD 20815
Phone (301) 656-2745

Other identifiers 1

IdentifierTypeStateIssuer
402481800MedicaidMD

Other names 1

  • Brasch & Goldstein, M.D. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Brasch Goldstein MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1427280817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NORTH PARK AVE",
            "address_2": "@ THE ELIZABETH ARCADE BLDG.",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-656-2745",
            "fax_number": "301-718-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N PARK AVE",
            "address_2": "@ THE ELIZABETH ARCADE BLDG.",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154519",
            "telephone_number": "301-656-2745",
            "fax_number": "301-718-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "BRASCH",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "301-656-2745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0036558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402481800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brasch & Goldstein, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.