Active NPI
Rusty Mason Jr., CDL
- Driver
- Forestville, MD
National Provider Identifier
1750787263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- M250751019101
- Practice address
- 2001 Burgess PL
Forestville, MD 20747-1200 - Phone
- (202) 971-6760
- NPI assigned
- Nov 10, 2014
- Last updated
- Nov 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | M250751019101 | MD | Primary |
| Poetry Therapist | 102X00000X | |||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
2001 Burgess PL
Forestville, MD 20747-1200
Mailing address
PO Box 471353
District Heights, MD 20753-1353
Phone (202) 971-6760
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M250751019101 | MD | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1750787263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471353",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207531353",
"telephone_number": "202-971-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BURGESS PL",
"city": "FORESTVILLE",
"state": "MD",
"postal_code": "207471200",
"telephone_number": "202-971-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "RUSTY",
"name_suffix": "Jr.",
"credential": "CDL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MD",
"license": "M250751019101",
"primary": true
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forestville, MD
- M Management Group LLC
- Marlboro Injury and Healing Center
- Marlboro Leasing Co., LLC (Forestville Healthcare Center)
- Alicia Marshall, PSYD.
- Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01476)
- Joy Tiffany Mayo, M.S.W., L.I.C.S.W.
- Leanna Beth Mayor
- Medexpress Urgent Care, PC - Maryland (MedExpress Urgent Care - Forestville, Donnell Dr)
- Barbara A Meriedy
- Millennium Health and Rehabilitation Center of Forestville LLC (Forestville Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.