NPIMap

Organization Active NPI

Germantown Primary Care Associates P C

  • Family Medicine Physician
  • Germantown, MD
National Provider Identifier
1891937769
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0033138 Issued in MD
Legal business name
GERMANTOWN PRIMARY CARE ASSOCIATES P C
Practice address
19500 Amaranth Dr
Suite B
Germantown, MD 20874-1209
Phone
(301) 528-7110
NPI assigned
Mar 24, 2009
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Dr. Daniel A JallerNPI 1174571848
Title
President
Phone
(301) 528-7110

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0033138 MD Primary

Addresses

Primary practice location

19500 Amaranth Dr
Suite B
Germantown, MD 20874-1209

Mailing address

19500 Amaranth Dr
Suite B
Germantown, MD 20874-1209
Phone (301) 528-7110

National Provider Directory

National Provider Directory

Locations

19500 Amaranth Dr
Germantown, MD 20874
Phone (301) 528-7110

19500 Amaranth Dr
Ste B
Germantown, MD 20874
Phone (301) 528-7110

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1891937769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 AMARANTH DR",
            "address_2": "SUITE B",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741209",
            "telephone_number": "301-528-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 AMARANTH DR",
            "address_2": "SUITE B",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741209",
            "telephone_number": "301-528-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN PRIMARY CARE ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "JALLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-528-7110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0033138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.