DR. JODY ROBERT TVERSKY M.D. NPI 1619014263

NPI Information

NPI: 1619014263
Provider Name: DR. JODY ROBERT TVERSKY, M.D.
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

Address:
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-2300
Get Directions

DR. Jody Robert Tversky, M.D. is an allergy and immunology internal medicine in Baltimore, MD with 23 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Jody Robert Tversky, M.D. NPI is 1619014263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD
ZIP 21224-821
Phone: (410) 550-2300

The NPI 1619014263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	5458	MARYLAND	No
2	207R00000X	Internal Medicine		042352	CONNECTICUT	No
3	207R00000X	Internal Medicine		MD-13065	HAWAII	No
4	207RA0201X	Internal Medicine	Allergy & Immunology	250668	NEW YORK	No
5	207RA0201X	Internal Medicine	Allergy & Immunology	D66119	MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MD-13065	OTHER	HAWAII	HAWAII MEDICAL LICENSE
2	042352	OTHER	CONNECTICUT	CT STATE LICENSE
3	D0066119	OTHER	MARYLAND	MARYLAND STATE MEDICAL LICENSE

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

NPI Synchronization or Removal

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