North Bethesda Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH BETHESDA MEDICAL CLINIC

Practice address

11400 Rockville Pike
Suite 511
Rockville, MD 20852-3004

Phone

(301) 881-2920

Fax

(301) 881-2921

NPI assigned

Apr 25, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Diana Ziscovici

Title

Director

Phone

(301) 881-2920

Specialties & licenses 1

Addresses

Other names 1

• North Bethesda Medical Clinic Former legal business name

Locations

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1740571801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "SUITE 511",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-881-2920",
            "fax_number": "301-881-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "SUITE 511",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-881-2920",
            "fax_number": "301-881-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BETHESDA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "ZISCOVICI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-881-2920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bethesda Medical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.