Provider Type Icon

HEBREW HOME OF GREATER WASHINGTON PODIATRY GROUP NPI 1609106897


NPI Information

NPI: 1609106897
Provider Name: HEBREW HOME OF GREATER WASHINGTON PODIATRY GROUP
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 21D0212480

Address:
6121 MONTROSE RD
ROCKVILLE, MD
ZIP 20852
Phone: (301) 816-5004
Get Directions

HEBREW HOME OF GREATER WASHINGTON PODIATRY GROUP is a podiatrist in Rockville, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. HEBREW HOME OF GREATER WASHINGTON PODIATRY GROUP NPI is 1609106897. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6121 MONTROSE RD
ROCKVILLE, MD
ZIP 20852
Phone: (301) 816-5004
Fax: (301) 816-5024

The provider's authorized official is Warren Slavin .
The authorized official title is C.e.o and has the following contact phone number (301) 770-8331.

The CLIA number assigned to this NPI record is 21D0212480 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2010 and was last updated on 1/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist00952MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1900661300MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.