NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

126TH STREET MEDICAL
12601 D COASTAL HIGHWAY
OCEAN CITY, MD21842-9784
 Phone: 410-250-8000
 Fax: 410-250-1308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 126TH STREET MEDICAL

NPI # 1316949787
LBN Legal business name 126TH STREET MEDICAL
Authorized official VICTOR GONG - (MEDICAL OFFICER)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/15/2005
Last updated 07/08/2007 - About 12 years ago
Identifiers
MD License # D0032615
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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