1528067808 NPI number — DR. EMMA GIACINTA DIIORIO M.D.

Table of content: DR. EMMA GIACINTA DIIORIO M.D. (NPI 1528067808)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528067808 NPI number — DR. EMMA GIACINTA DIIORIO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIIORIO
Provider First Name:
EMMA
Provider Middle Name:
GIACINTA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1528067808
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2730 UNIVERSITY BLVD W
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
WHEATON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20902-1905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-942-7600
Provider Business Mailing Address Fax Number:
301-942-3132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14995 SHADY GROVE RD
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20850-8726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-942-7600
Provider Business Practice Location Address Fax Number:
301-942-3132
Provider Enumeration Date:
07/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  D0044503 , 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: 317769 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 057951300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30356 . This is a "PRIORITY PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0003 . This is a "CAREFIRST OF DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 2429357 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 89370701 . This is a "CAREFIRST OF MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 89404 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 317796 . This is a "ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0004520966 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com