1487705281 NPI number — ADITYA CHOPRA, MD, PC

Table of content: DR. CODY JONES LONG N.D. (NPI 1023379401)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487705281 NPI number — ADITYA CHOPRA, MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADITYA CHOPRA, MD, PC
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:
1487705281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 RIDGELY AVE
Provider Second Line Business Mailing Address:
SUITE 231
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-266-8116
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 RIDGELY AVE
Provider Second Line Business Practice Location Address:
SUITE 231
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-266-8116
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHOPRA
Authorized Official First Name:
ADITYA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
410-266-8116

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D0057028 , 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: 4051700 00 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: S359 . This is a "BCBS CAREFIRST BLUECHOICE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: S359 . This is a "BCBS CAREFIRST FEDERAL EMPLOYEE PROGRAM" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: S359 . This is a "BCBS CAREFIRST BLUEPREFERRED" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: S359 . This is a "BCBS CAREFIRST GHMSI" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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