Fausto Q. Aquino, Jr.,M.D.,P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D014697 Issued in MD

Legal business name

FAUSTO Q. AQUINO, JR.,M.D.,P.A.

Practice address

8713 Harford Rd
101
Baltimore, MD 21234-4650

Phone

(410) 665-1990

Fax

(410) 665-9980

NPI assigned

Apr 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fausto Quiambao Aquino Jr., M.D.

Title

President

Phone

(410) 665-1990

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1467779488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 HARFORD RD",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212344650",
            "telephone_number": "410-665-1990",
            "fax_number": "410-665-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 HARFORD RD",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212344650",
            "telephone_number": "410-665-1990",
            "fax_number": "410-665-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTO Q. AQUINO, JR.,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "QUIAMBAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-665-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D014697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1167FQ",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4104832",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051331800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTCARE",
            "identifier": "04309011",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHP",
            "identifier": "10075",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia C Fauntleroy, RN
• Jessica Tawanda Fauntleroy, LCSW-C
• Mikayla Fauntleroy
• Steven Fauser, P.A.
• Christopher Faustin, MD
• Andrea Fava, M.D.
• Annanoelle Favero, MSIN, CN
• Christopher John Favero, MD
• Crystal Favorito
• Sydney Ava Faw, LCSW-C

• Primary Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.