Organization Active NPI

Leonard M. Zullo,M.D.P.a.

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1962694919
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0011312 Issued in MD
Legal business name
LEONARD M. ZULLO,M.D.P.A.
Practice address
1665 Merritt Blvd
Baltimore, MD 21222-2117
Phone
(410) 282-5330
Fax
(410) 282-2924
NPI assigned
Aug 14, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Leonard Michael Zullo, M.D.NPI 1740272525
Title
President
Phone
(410) 282-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0011312 MD Primary

Addresses

Primary practice location

1665 Merritt Blvd
Baltimore, MD 21222-2117

Mailing address

1665 Merritt Blvd
Baltimore, MD 21222-2117
Phone (410) 282-5330

National Provider Directory

National Provider Directory

Locations

1665 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-0377

Practitioners & affiliated clinicians

Practitioners 1

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1962694919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 MERRITT BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222117",
            "telephone_number": "410-282-5330",
            "fax_number": "410-282-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 MERRITT BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222117",
            "telephone_number": "410-282-5330",
            "fax_number": "410-282-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD M. ZULLO,M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "ZULLO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-282-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0011312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.