NPIMap

Organization Active NPI

Hebrew Home of Greater Washington Podiatry Group

  • Podiatrist
  • Rockville, MD
National Provider Identifier
1609106897
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00952 Issued in MD
Legal business name
HEBREW HOME OF GREATER WASHINGTON PODIATRY GROUP
Practice address
6121 Montrose Rd
Rockville, MD 20852
Phone
(301) 816-5004
Fax
(301) 816-5024
NPI assigned
Jan 11, 2010
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
HEBREW HOME OF GREATER WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mr. Warren Slavin
Title
C.E.O
Phone
(301) 770-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 00952 MD Primary

Addresses

Primary practice location

6121 Montrose Rd
Rockville, MD 20852

Mailing address

6121 Montrose Rd
Rockville, MD 20852
Phone (301) 816-5004

Other identifiers 1

IdentifierTypeStateIssuer
900661300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Hebrew Homehirsh Health Center8 organizations share this tax ID, including this one
Part of
Hebrew Homehirsh Health Center

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1609106897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-816-5004",
            "fax_number": "301-816-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-816-5004",
            "fax_number": "301-816-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBREW HOME OF GREATER WASHINGTON PODIATRY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEBREW HOME OF GREATER WASHINGTON",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "301-770-8331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900661300",
            "state": "MD"
        }
    ],
    "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 Jan 11, 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.