Active NPI
Marinela T Macaraeg, MD
- Pediatrics Physician
- Edgewater, MD
National Provider Identifier
1679686133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0028877
- Practice address
- 224 Mayo Rd
Edgewater, MD 21037-2951 - Phone
- (410) 956-6303
- Fax
- (410) 956-6637
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0028877 | MD | Primary |
Addresses
Primary practice location
224 Mayo Rd
Edgewater, MD 21037-2951
Mailing address
224 Mayo Rd
Edgewater, MD 21037-2951
Phone (410) 956-6303
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0028877 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1679686133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 MAYO RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372951",
"telephone_number": "410-956-6303",
"fax_number": "410-956-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 MAYO RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372951",
"telephone_number": "410-956-6303",
"fax_number": "410-956-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACARAEG",
"first_name": "MARINELA",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0028877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.