1427023738 NPI number — SHARON ALONGI, MD PA

Table of content: (NPI 1427023738)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427023738 NPI number — SHARON ALONGI, MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARON ALONGI, MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427023738
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
217 WASHINGTON HEIGHTS MED CTR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTMINSTER
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21157-5639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-848-8202
Provider Business Mailing Address Fax Number:
410-848-2644

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
217 WASHINGTON HEIGHTS MED CTR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21157-5639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-848-8202
Provider Business Practice Location Address Fax Number:
410-848-2644
Provider Enumeration Date:
02/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALONGI
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
410-848-8202

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  D0041725 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 787361100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: G5500001 . This is a "BC DC/METRO" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 5987285 . This is a "AETN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 884807 . This is a "UHC GROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 9160646014 . This is a "CIGNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: OA79SY52381407 . This is a "BC MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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