Active NPI
Daniel Marder, M.D.
- Specialist
- Washington, DC
National Provider Identifier
1780635615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD21069
- Practice address
- 2141 K St NW
Ste 900
Washington, DC 20037-1810 - Phone
- (202) 223-9722
- Fax
- (703) 280-5098
- NPI assigned
- May 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD21069 | DC | Primary |
Addresses
Primary practice location
2141 K St NW
Ste 900
Washington, DC 20037-1810
Mailing address
3015 Williams Dr
Ste 200
Fairfax, VA 22031-4623
Phone (703) 641-9133
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21069 | DC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington ENT Group PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Washington, DC
- NPI 1154349025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1780635615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 WILLIAMS DR",
"address_2": "STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314623",
"telephone_number": "703-641-9133",
"fax_number": "703-280-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 K ST NW",
"address_2": "STE 900",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371810",
"telephone_number": "202-223-9722",
"fax_number": "703-280-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "MD21069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.