Active NPI
Richard D. Maffezzoli LLC
- Endocrinology, Diabetes & Metabolism Physician
- Towson, MD
National Provider Identifier
1871775981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- DO7132
- Legal business name
- RICHARD D. MAFFEZZOLI LLC
- Practice address
- 515 Fairmount Ave
Suite 330
Towson, MD 21286-5466 - Phone
- (410) 494-1213
- Fax
- (410) 494-1233
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard D Maffezzoli, M.D.
- Title
- Sole Priopritor
- Phone
- (410) 494-1213
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | DO7132 | MD | Primary |
Addresses
Primary practice location
515 Fairmount Ave
Suite 330
Towson, MD 21286-5466
Mailing address
19 Seminary Dr
Lutherville, MD 21093-4757
Phone (410) 494-1213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025571800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303171200000",
"number": "1871775981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SEMINARY DR",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934757",
"telephone_number": "410-494-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 FAIRMOUNT AVE",
"address_2": "SUITE 330",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865466",
"telephone_number": "410-494-1213",
"fax_number": "410-494-1233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD D. MAFFEZZOLI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2011-04-19",
"status": "A",
"authorized_official_last_name": "MAFFEZZOLI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE PRIOPRITOR",
"authorized_official_telephone_number": "410-494-1213",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MD",
"license": "DO7132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025571800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.