Montgomery Infectious Disease Associates,PA

Organization Active NPI Infectious Disease Physician · Silver Spring, MD

NPI 1790741759 · NPPES record last updated Jun 19, 2009

Key facts

NPI
1790741759
Entity type
Organization (NPI type 2)
Primary specialty
Infectious Disease Physician 207RI0200X
Legal business name
MONTGOMERY INFECTIOUS DISEASE ASSOCIATES,PA
Practice address
8630 Fenton St
Suite 700
Silver Spring, MD 20910-3806
Phone
(301) 588-2525
Fax
(301) 588-3447
NPI assigned
Apr 26, 2006
Organization subpart
No

Authorized official

Name
Dr. Phuong D Trinh, MD NPI 1679536486
Title
President
Phone
(301) 588-3322

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0882399Montgomery Infectious Disease Assoc PA
8630 Fenton Street Ste 700, Silver Spring, MD 20910
Certificate of waiverOct 19, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0200X Yes

Addresses

Primary practice location

8630 Fenton St
Suite 700
Silver Spring, MD 20910-3806

Mailing address

8630 Fenton Street
Suite 700
Silver Spring, MD 20910
Phone (301) 588-2525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2009.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1790741759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON STREET",
            "address_2": "SUITE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-588-2525",
            "fax_number": "301-588-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-588-2525",
            "fax_number": "301-588-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY INFECTIOUS DISEASE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-588-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Infectious Disease Physician in Maryland

Sources for this page

Verify at the official NPI Registry.