Active NPI
Mariusz Wojnarski, M.D.
- Procedural Dermatology Physician
- Fort Meade, MD
National Provider Identifier
1922292796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 0101244548
- Practice address
- 2480 Llewellyn Ave
Fort Meade, MD 20755-7081 - Phone
- (301) 677-8138
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101244548 | VA | |
| Military Hospital | 286500000X | |||
| Procedural Dermatology Physician | 207NS0135X | 0101244548 | VA | Primary |
Addresses
Primary practice location
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Mailing address
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Phone (301) 677-8138
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101244548 | VA | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1922292796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "207557081",
"telephone_number": "301-677-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "207557081",
"telephone_number": "301-677-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJNARSKI",
"first_name": "MARIUSZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101244548",
"primary": false
},
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "VA",
"license": "0101244548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.