Active NPI
Rochelle S. Hardy, M.D., P.C.
- General Practice Physician
- Lanham, MD
National Provider Identifier
1598055568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D0037391
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549391900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.