Active NPI
Joseph B Aquilla, M.D.
- Ophthalmology Physician
- Chestertown, MD
National Provider Identifier
1437246170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D12923
- Practice address
- 120 Speer Rd
Suite 1
Chestertown, MD 21620-1044 - Phone
- (410) 778-1150
- Fax
- (410) 778-2949
- NPI assigned
- Oct 6, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D12923 | MD | Primary |
Addresses
Primary practice location
120 Speer Rd
Suite 1
Chestertown, MD 21620-1044
Mailing address
120 Speer Rd
Suite 1
Chestertown, MD 21620-1044
Phone (410) 778-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415161500 | Medicaid | MD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seidenberg Protzko Eye Associates | Past | Accepting new patients | |
| Atlantic Retina Center, P.a. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Salisbury, MD
- NPI 1952355489
-
- Eyewear Supplier
- Chestertown, MD
- NPI 1003276825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1437246170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SPEER RD",
"address_2": "SUITE 1",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201044",
"telephone_number": "410-778-1150",
"fax_number": "410-778-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SPEER RD",
"address_2": "SUITE 1",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201044",
"telephone_number": "410-778-1150",
"fax_number": "410-778-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUILLA",
"first_name": "JOSEPH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D12923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "415161500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestertown, MD
- Mathew J An, MS, ATC
- Kristen Leigh Anderson, PTA
- Paulette D. Anderson, M.D.
- Anthony J Moorman MD and Associates PC
- Emily R Anthony, LCSW-C
- Freddy Orlando Araujo-Vidal, M.D.
- John C. Arrabal, M.D.
- Aslc Opco MD II, LLC (Chestertown Nusing & Rehabilitation Center)
- Aurora Senior Living of Chestertown, LLC
- Jean Frenkil Ayers, PSY D, PA-C, LCM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.