Active NPI
Cecile Punzalan, MD MPH
- Pediatrics Physician
- College Park, MD
National Provider Identifier
1679735534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D76465
- Practice address
- 5001 Campus Dr # 2D-021
College Park, MD 20740-3838 - Phone
- (240) 402-7519
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | D76465 | MD | |
| Pediatrics Physician | 208000000X | D76465 | MD | Primary |
Addresses
Primary practice location
5001 Campus Dr # 2D-021
College Park, MD 20740-3838
Mailing address
1150 Ripley St Apt 1107
Silver Spring, MD 20910-7428
Phone (646) 338-8542
Other practice location 1
2209 Defense Hwy Ste C
Crofton, MD 21114-2403
Phone (443) 332-4268
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harcart Health Holdings LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1679977755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679735534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 RIPLEY ST APT 1107",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209107428",
"telephone_number": "646-338-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 CAMPUS DR # 2D-021",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207403838",
"telephone_number": "240-402-7519"
}
],
"practiceLocations": [
{
"address_1": "2209 Defense Hwy Ste C",
"address_purpose": "LOCATION",
"city": "Crofton",
"state": "MD",
"postal_code": "211142403",
"country_code": "US",
"telephone_number": "443-332-4268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUNZALAN",
"first_name": "CECILE",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MD",
"license": "D76465",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D76465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.