Organization Active NPI

Rohani Surgical LLC

  • Vascular Surgery Physician
  • Mount Airy, MD
National Provider Identifier
1467204263
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ROHANI SURGICAL LLC
Practice address
106 E Ridgeville Blvd Ste 2
Mount Airy, MD 21771-5248
Phone
(240) 732-1200
Fax
(877) 940-4014
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Elizzabeth Diaz
Title
Credentialing Assistant
Phone
(609) 742-2368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

106 E Ridgeville Blvd Ste 2
Mount Airy, MD 21771-5248

Mailing address

106 E Ridgeville Blvd
Unit 2
Mount Airy, MD 21771-5248
Phone (240) 732-1200

Other identifiers 1

IdentifierTypeStateIssuer
H0097426OtherMDMEDICAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

106 E Ridgeville Blvd
Unit 2
Mount Airy, MD 21771

106 E Ridgeville Blvd
Ste 2
Mount Airy, MD 21771
Phone (240) 732-1200

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1467204263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E RIDGEVILLE BLVD",
            "address_2": "UNIT 2",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715248",
            "telephone_number": "240-732-1200",
            "fax_number": "877-940-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E RIDGEVILLE BLVD STE 2",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715248",
            "telephone_number": "240-732-1200",
            "fax_number": "877-940-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHANI SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ELIZZABETH",
        "authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
        "authorized_official_telephone_number": "609-742-2368"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "H0097426",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.