{
"Npi": {
"NPI": "1730049578",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VERGHESE & LING, MD PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "173 SAINT PATRICKS DR STE 201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WALDORF",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20603-5531",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-396-3401",
"MailingAddressFaxNumber": "301-396-3404",
"FirstLinePracticeLocationAddress": "3140 W WARD RD STE 208",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DUNKIRK",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20754-3047",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-396-3401",
"PracticeLocationAddressFaxNumber": "301-396-3404",
"EnumerationDate": "11/14/2025",
"LastUpdateDate": "11/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LACLEDERE",
"AuthorizedOfficialFirstName": "ELIANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "RCM ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MGMA CMP",
"AuthorizedOfficialTelephoneNumber": "202-704-6273",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207N00000X",
"TaxonomyName": "Dermatology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}