Individual provider Active NPI

Juli Tomaino, MD

  • Pediatric Gastroenterology Physician
  • Washington, DC
National Provider Identifier
1780843714
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
036128497 Issued in IL
Practice address
1352 C St SE Unit a
Washington, DC 20003-2391
Phone
(718) 514-0528
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 248357 NY
Pediatric Gastroenterology Physician 2080P0206X 036128497 IL Primary

Addresses

Primary practice location

1352 C St SE Unit a
Washington, DC 20003-2391

Mailing address

1352 C St SE Unit a
Washington, DC 20003-2391
Phone (718) 514-0528

Other practice location 1

25 N. Winfield Road
CMH
Winfield, IL 60190-1295
Phone (630) 933-6631

Other practice location 2

10903 New Hampshire Ave Rm 5114
Silver Spring, MD 20993-2391
Phone (301) 796-8812

Other identifiers 3

IdentifierTypeStateIssuer
206147OtherILMEDICARE PTAN (GROUP)
206147078OtherILMEDICARE PTAN (INDIVIDUAL)
036128497MedicaidIL

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

LicenseStateTypeSpecialty
248357NYMDSpecialist
036128497ILMDPediatric Gastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1780843714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 C ST SE UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032391",
            "telephone_number": "718-514-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 C ST SE UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032391",
            "telephone_number": "718-514-0528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N. Winfield Road",
            "address_2": "CMH",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901295",
            "country_code": "US",
            "telephone_number": "630-933-6631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10903 New Hampshire Ave Rm 5114",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209932391",
            "country_code": "US",
            "telephone_number": "301-796-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMAINO",
        "first_name": "JULI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "248357",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IL",
            "license": "036128497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "206147078",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036128497",
            "state": "IL"
        }
    ],
    "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 Oct 14, 2020; 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.