Daniel Jaller, M.D., PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

D0033138 Issued in MD

Legal business name

DANIEL JALLER, M.D., PC

Practice address

15245 Shady Grove Rd
Suite 315
Rockville, MD 20850-3222

Phone

(301) 528-7111

Fax

(301) 528-5824

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel A Jaller, M.D.

Title

President

Phone

(301) 528-7111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1548671241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 315",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-528-7111",
            "fax_number": "301-528-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 315",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-528-7111",
            "fax_number": "301-528-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL JALLER, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "JALLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-528-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": "D0033138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thien Dang-Tan, D.C.
• Julie T.D. Dang, D.O.
• Michael Dang
• Daniel B Farber, DDS, Ms, PA
• Daniel D Lahr MD PA
• Felseta Daniel
• Shakia Daniel
• Julia Daniele, M.S.
• Golena Daniels
• Jamal Daniels

• Health Maintenance Organization in Rockville, MD
• Providers in Rockville, MD by specialty
• Health Maintenance Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.