Organization Active NPI

Marc Hertzman, M.D., P.C.

  • Neurology Physician
  • Rockville, MD
National Provider Identifier
1477821320
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DOO16115 Issued in MD
Legal business name
MARC HERTZMAN, M.D., P.C.
Practice address
11404 Old Georgetown Rd
Suite 203
Rockville, MD 20852-2865
Phone
(301) 984-8800
Fax
(301) 984-8802
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Marc Hertzman, M.D.NPI 1689676801
Title
Dr.
Phone
(301) 984-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X DOO16115 MD Primary

Addresses

Primary practice location

11404 Old Georgetown Rd
Suite 203
Rockville, MD 20852-2865

Mailing address

11404 Old Georgetown Rd
Suite 203
Rockville, MD 20852-2865
Phone (301) 984-8800

National Provider Directory

National Provider Directory

Locations

11404 Old Georgetown Rd
Ste 203
Rockville, MD 20852
Phone (301) 231-9665

Practitioners & affiliated clinicians

Practitioners 2

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1477821320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 OLD GEORGETOWN RD",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522865",
            "telephone_number": "301-984-8800",
            "fax_number": "301-984-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 OLD GEORGETOWN RD",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522865",
            "telephone_number": "301-984-8800",
            "fax_number": "301-984-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC HERTZMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HERTZMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "301-984-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "DOO16115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.