Organization Active NPI

Rochelle S. Hardy, M.D., P.C.

  • General Practice Physician
  • Lanham, MD
National Provider Identifier
1598055568
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0037391 Issued in MD
Legal business name
ROCHELLE S. HARDY, M.D., P.C.
Practice address
7404 Executive PL
Suite 502
Lanham, MD 20706-6238
Phone
(301) 249-2700
Fax
(301) 249-4559
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Rochelle S. Hardy, M.D., P.C.
Title
President/Owner
Phone
(301) 249-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X D0037391 MD Primary

Addresses

Primary practice location

7404 Executive PL
Suite 502
Lanham, MD 20706-6238

Mailing address

7404 Executive PL
Suite 502
Lanham, MD 20706-6238
Phone (301) 249-2700

Other identifiers 1

IdentifierTypeStateIssuer
549391900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110415000126 DC Part B Supplier - Clinic/Group Practice 7719161751 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

7404 Executive Pl
Ste 502
Seabrook, MD 20706
Phone (301) 249-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1598055568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL",
            "address_2": "SUITE 502",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066238",
            "telephone_number": "301-249-2700",
            "fax_number": "301-249-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL",
            "address_2": "SUITE 502",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066238",
            "telephone_number": "301-249-2700",
            "fax_number": "301-249-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE S. HARDY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "301-249-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0037391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549391900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.