Individual provider Active NPI

Edward Stanley Yanowitz, MD

  • Allergy & Immunology Physician
  • Silver Spring, MD
National Provider Identifier
1669477923
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0043763 Issued in MD
Practice address
10801 Lockwood Dr Ste 180
Silver Spring, MD 20901-1559
Phone
(301) 587-1127
Fax
(301) 587-1129
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D0043763 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr Ste 180
Silver Spring, MD 20901-1559

Mailing address

10801 Lockwood Dr Ste 180
Silver Spring, MD 20901-1559
Phone (301) 587-1127

Other identifiers 1

IdentifierTypeStateIssuer
277401101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16972MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1669477923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 180",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011559",
            "telephone_number": "301-587-1127",
            "fax_number": "301-587-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 180",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011559",
            "telephone_number": "301-587-1127",
            "fax_number": "301-587-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOWITZ",
        "first_name": "EDWARD",
        "middle_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0043763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277401101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.