Individual provider Active NPI

James Stephen Albertoli, MD

  • Plastic and Reconstructive Surgery Physician
  • Frederick, MD
National Provider Identifier
1780686337
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D44403 Issued in MD
Practice address
56 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4599
Phone
(301) 698-9999
Fax
(301) 698-9699
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X D44403 MD Primary

Addresses

Primary practice location

56 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4599

Mailing address

56 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4599
Phone (301) 698-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000420 MD Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3870692403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Center for Aesthetic and Reconstructive Surgery Current Accepting new patients
James S Albertoli MD Facs LLC CurrentSince Feb 1, 2007 Accepting new patients
Allegheny Center for Ambulatory Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

56 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 698-9999

18111 Prince Philip Dr
Ste 204
Olney, MD 20832
Phone (301) 570-1510

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1780686337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024599",
            "telephone_number": "301-698-9999",
            "fax_number": "301-698-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR",
            "address_2": "SUITE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024599",
            "telephone_number": "301-698-9999",
            "fax_number": "301-698-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTOLI",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D44403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.