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GERIATRIC MULTISPECIALTY ASSOCIATES
NPI 1316515372
Internal Medicine in Waldorf, MD

Active since June 16, 2021CLIA 21D2321224 · Waiver
11350 PEMBROOKE SQ STE 311, WALDORF, MD 20603(301) 870-0660 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2021, Sep 15, 2021, Jun 16, 2021 (3 updates tracked since 2021).

About Geriatric Multispecialty Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERIATRIC MULTISPECIALTY ASSOCIATES (NPI 1316515372) is a healthcare organization registered as an internal medicine in Waldorf, Maryland and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Philip Wisotsky, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316515372
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGERIATRIC MULTISPECIALTY ASSOCIATES
Location Address11350 PEMBROOKE SQ STE 311Waldorf, MD 20603-4809
Mailing Address11350 Pembrooke Sq Ste 311Waldorf, MD 20603-4809
Phone(301) 870-0660
Organization SubpartNo
Authorized OfficialPhilip WisotskyMedical Director · (301) 870-0660
Enumeration DateJune 16, 2021
Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1316515372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
11350 PEMBROOKE SQ STE 311, Waldorf, MD 20603
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2321224

Geriatric Multispecialty Associates · Waldorf, MD
Active · expires Mar 31, 2027
CLIA Number21D2321224
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorPhilip Wisotsky
Laboratory Phone(301) 870-0660
Laboratory LocationGeriatric Multispecialty Associates11350 Pembrooke Sq Suite 311, Waldorf, MD 20603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILIP WISOTSKY MD
Internal Medicine
11350 PEMBROOKE SQ STE 311
WALDORF, MD 20603
Charles County (301) 870-0660
DR. IVAN A SABIO MD
Internal Medicine
11350 PEMBROOKE SQ STE 311
WALDORF, MD 20603
Charles County (301) 870-0660
SURGICAL ASSOCIATES CHARTERED
Surgery (Vascular Surgery)
11350 PEMBROOKE SQ STE 311
WALDORF, MD 20603
Charles County (240) 427-1630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geriatric Multispecialty Associates's NPI number?

The NPI number for Geriatric Multispecialty Associates is 1316515372. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Geriatric Multispecialty Associates located?

Geriatric Multispecialty Associates is located at 11350 Pembrooke Sq Ste 311, Waldorf, MD 20603. The listed phone number is (301) 870-0660.

What is Geriatric Multispecialty Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Geriatric Multispecialty Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2321224) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Geriatric Multispecialty Associates was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.