Active NPI
Leonard M. Zullo,M.D.P.a.
- Primary Care Clinic/Center
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- D0011312
- 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, 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. Leonard Michael Zullo, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Adult Medicine Physician
- Baltimore, MD
- NPI 1740272525
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.