NPIMap

Organization Active NPI

Metropolitan Family Practice, LLC

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1679751473
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D059182 Issued in MD
Legal business name
METROPOLITAN FAMILY PRACTICE, LLC
Practice address
3450 Fort Meade Rd
Suite 109
Laurel, MD 20724-2040
Phone
(301) 317-8660
Fax
(301) 317-8663
NPI assigned
Feb 4, 2008
Last updated
May 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Gerren Shinar Perry-Fabrizio, MDNPI 1356328116
Title
Owner
Phone
(301) 317-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D059182 MD Primary

Addresses

Primary practice location

3450 Fort Meade Rd
Suite 109
Laurel, MD 20724-2040

Mailing address

3450 Fort Meade Rd
Suite 109
Laurel, MD 20724-2040
Phone (301) 317-8660

Other identifiers 1

IdentifierTypeStateIssuer
024205501MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1679751473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORT MEADE RD",
            "address_2": "SUITE 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-317-8660",
            "fax_number": "301-317-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FORT MEADE RD",
            "address_2": "SUITE 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-317-8660",
            "fax_number": "301-317-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "PERRY-FABRIZIO",
        "authorized_official_first_name": "GERREN",
        "authorized_official_middle_name": "SHINAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-317-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D059182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024205501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.