NPIMap

Organization Active NPI

Rock Creek Family Medicine, LLP

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
National Provider Identifier
1639367816
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
ROCK CREEK FAMILY MEDICINE, LLP
Doing business as
Rock Creek Geriatric Medicine
Practice address
11140 Rockville Pike
#348
Rockville, MD 20852-3106
Phone
(301) 294-1864
Fax
(301) 349-5177
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Patricia Tomsko Nay, M.D.NPI 1124029566
Title
Managing Partner
Phone
(301) 294-1864

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
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

11140 Rockville Pike
#348
Rockville, MD 20852-3106

Mailing address

11140 Rockville Pike
#348
Rockville, MD 20852-3106
Phone (301) 294-1864

Other identifiers 1

IdentifierTypeStateIssuer
G00023OtherMEDICARE GROUP NUMBER

Other names 1

  • Rock Creek Geriatric Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

11140 Rockville Pike
#348
Rockville, MD 20852
Phone (301) 294-1864

Practitioners & affiliated clinicians

Practitioners 2

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1639367816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "address_2": "#348",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "301-294-1864",
            "fax_number": "301-349-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "address_2": "#348",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "301-294-1864",
            "fax_number": "301-349-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK FAMILY MEDICINE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "NAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "TOMSKO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-294-1864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G00023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Creek Geriatric Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2007; 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.