NPIMap

Organization Active NPI

Physicians Audiology Center, LLC.

  • Audiologist
  • Rockville, MD
National Provider Identifier
1730557265
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0101048706 Issued in MD
Legal business name
PHYSICIANS AUDIOLOGY CENTER, LLC.
Practice address
1101 Wootton Pkwy
Suite 900
Rockville, MD 20852-1059
Phone
(301) 493-9409
Fax
(301) 493-9429
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. Sanjay Prasad, M.D.NPI 1437232139
Title
Practice Owner
Phone
(301) 493-9409

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 0101048706 MD Primary

Addresses

Primary practice location

1101 Wootton Pkwy
Suite 900
Rockville, MD 20852-1059

Mailing address

1101 Wootton Pkwy
Suite 900
Rockville, MD 20852-1059
Phone (301) 493-9409

Other identifiers 3

IdentifierTypeStateIssuer
1568745750OtherMDNPI
1962762674OtherMDNPI
1548524168OtherMDNPI

National Provider Directory

National Provider Directory
Tax ID family
Physicians Audiology Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1730557265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WOOTTON PKWY",
            "address_2": "SUITE 900",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521059",
            "telephone_number": "301-493-9409",
            "fax_number": "301-493-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WOOTTON PKWY",
            "address_2": "SUITE 900",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521059",
            "telephone_number": "301-493-9409",
            "fax_number": "301-493-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AUDIOLOGY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "301-493-9409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MD",
            "license": "0101048706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568745750",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962762674",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548524168",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.