Organization Active NPI

Raymond P Merkin

  • Podiatrist
  • Rockville, MD
National Provider Identifier
1992989602
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00372 Issued in MD
Legal business name
RAYMOND P MERKIN
Practice address
11125 Rockville Pike
Suite G-1
Rockville, MD 20852-3142
Phone
(301) 468-0441
Fax
(301) 468-0805
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Raymond P Merkin, DPMNPI 1861457137
Title
Owner
Phone
(301) 468-0441

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00372 MD Primary

Addresses

Primary practice location

11125 Rockville Pike
Suite G-1
Rockville, MD 20852-3142

Mailing address

11125 Rockville Pike
Suite G-1
Rockville, MD 20852-3142
Phone (301) 468-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930011763 MD DME Supplier - Physician - Podiatry 3971622978 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

11125 Rockville Pike
Ste G1
Rockville, MD 20852
Phone (301) 468-0441

Practitioners & 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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1992989602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE G-1",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-468-0441",
            "fax_number": "301-468-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE G-1",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-468-0441",
            "fax_number": "301-468-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND P MERKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MERKIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-468-0441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.

Verify at the official NPI Registry.