Active NPI
Maryam Y Mizrahi, MD.P.C.
- Internal Medicine Physician
- Rockville, MD
National Provider Identifier
1699965152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MARYAM Y MIZRAHI, MD.P.C.
- Practice address
- 14800 Physicians LN
Suite 132
Rockville, MD 20850-3940 - Phone
- (301) 610-5080
- Fax
- (301) 610-5065
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maryam Y Mizrahi, M.D.
- Title
- Owner
- Phone
- (301) 610-5080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
14800 Physicians LN
Suite 132
Rockville, MD 20850-3940
Mailing address
14800 Physicians LN
Suite 132
Rockville, MD 20850-3940
Phone (301) 610-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307059200000",
"number": "1699965152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14800 PHYSICIANS LN",
"address_2": "SUITE 132",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503940",
"telephone_number": "301-610-5080",
"fax_number": "301-610-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14800 PHYSICIANS LN",
"address_2": "SUITE 132",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503940",
"telephone_number": "301-610-5080",
"fax_number": "301-610-5065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYAM Y MIZRAHI, MD.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2011-06-03",
"status": "A",
"authorized_official_last_name": "MIZRAHI",
"authorized_official_first_name": "MARYAM",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-610-5080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
- Fungisai Juliet Marumahoko, BSN, RN
- Monkam Mary Jabbosung Epse Tadife
- Mary Lou Lyon, LCPC, LLC
- Maryam Honarkar D.D.S., P.a.
- Maryam Meratee M.D., P.C.
- Maryland and Virginia Phlebology PC
- Maryland Anesthesia Partners LLC
- Maryland Bariatrics PC
- Maryland Cardiac Care, LLC
- Maryland Counseling Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.