1ST MEDICAL PAINREHAB CENTER , NPI 1902348659
Clinic/Center in EDGEWATER, MD
Last Updated on : Jan 23,2022
About 1ST MEDICAL PAINREHAB CENTER (NPI 1902348659)
1ST MEDICAL PAINREHAB CENTER (1ST MEDICAL PAIN MANAGEMENT SPECIALISTS) is a Clinic/Center in EDGEWATER, United States .
1902348659 is NPI number of 1ST MEDICAL PAINREHAB CENTER.
1ST MEDICAL PAINREHAB CENTER's primary taxonomy code based on NPI Lookup is 261Q00000X with license number . This taxonomy code refers to Clinic/Center.
1ST MEDICAL PAINREHAB CENTER current practice location address is 20 MAYO RD, EDGEWATER, MD. 1ST MEDICAL PAINREHAB CENTER can be reached out via phone at 410-956-6800 and via fax at 410-956-6803 .
You can also correspond with 1ST MEDICAL PAINREHAB CENTER through mail at mailing address 20 MAYO RD STE 201, EDGEWATER, MD, United States. Mailing address contact number is 410-956-6800.
The enumeration date of 1ST MEDICAL PAINREHAB CENTER is 11-Nov-2016. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of 1ST MEDICAL PAINREHAB CENTER is ROSEMARY INGADO (Clinical Administrator). ROSEMARY INGADO can be reached at 4109566800.1902348659 NPI Information
Basic NPI information of 1ST MEDICAL PAINREHAB CENTER (NPI 1902348659) is provided below.
| Name | 1ST MEDICAL PAINREHAB CENTER |
|---|---|
| National Provider Id (NPI) | 1902348659 |
| Entity Type | Organization |
| Practice Address | 20 MAYO RD,
SUITE 201
EDGEWATER, MD, United States |
| Practice Telephone | 410-956-6800 |
| Practice Fax Number | 410-956-6803 |
| Mailing Address | 20 MAYO RD STE 201 ,
EDGEWATER, MD, United States |
| Mailing Telephone | 410-956-6800 |
| Mailing Fax Number | 410-956-6803 |
| Enumeration Date | 11-Nov-2016 |
| Last Updated Date | 23-Jan-2022 |
1ST MEDICAL PAINREHAB CENTER (NPI 1902348659) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1ST MEDICAL PAINREHAB CENTER (NPI 1902348659) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 261QP3300X | Clinic/Center, Pain | ||
| N | 261QR0400X | Clinic/Center, Rehabilitation | ||
| N | 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | ||
| N | 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | ||
| N | 101YA0400X | Counselor, Addiction (Substance Use Disorder) | ||
| N | 1041C0700X | Social Worker, Clinical | ||
| N | 171W00000X | Contractor | D40904 | MD |
| N | 174400000X | Specialist | ||
| N | 261QM0850X | Clinic/Center, Adult Mental Health |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 923020300 | MEDICAID (05) | MD |
1ST MEDICAL PAINREHAB CENTER (NPI 1902348659) Office Location
Office location of 1ST MEDICAL PAINREHAB CENTER is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1396095238 | 11 11 CONSULTING SERVICES INC | Podiatrist, Foot & Ankle Surgery | 760-A UNDERCLIFF AVE,
EDGEWATER, NJ, United States |
19-Sep-2012 |
| 1477813459 | 11/11 CONSULTING SERVICES, INC. | Durable Medical Equipment & Medical Supplies | 125 HUDSON COVE,
EDGEWATER, NJ, United States |
23-May-2012 |
| 1922282425 | 1ST MEDICAL OF ANNAPOLIS, INC. | Clinic/Center | 20 MAYO RD STE 201,
EDGEWATER, MD, United States |
20-Dec-2007 |
| 1902348659 | 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS | Clinic/Center, Pain | 20 MAYO RD,
SUITE 201 EDGEWATER, MD, United States |
11-Nov-2016 |
| 1578231213 | 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS | Nurse Practitioner, Psych/Mental Health | 20 MAYO RD STE 201,
EDGEWATER, MD, United States |
30-Aug-2021 |
| 1932876695 | 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS | Counselor, Mental Health | 20 MAYO RD STE 201,
EDGEWATER, MD, United States |
30-Aug-2021 |
| 1205501608 | 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS | Counselor, Addiction (Substance Use Disorder) | 20 MAYO RD STE 201,
EDGEWATER, MD, United States |
09-Aug-2021 |
| 1598495442 | 814 UNDERCLIFF MEDICAL PC | Pain Medicine, Pain Medicine | 814 UNDERCLIFF AVE,
EDGEWATER, NJ, United States |
14-Jun-2022 |
| 1679502215 | 968 RIVER ROAD RADIOLOGY | Clinic/Center, Radiology | PO BOX 5075,
CHERRY HILL, NJ, United States |
03-Jul-2006 |
| 1972961332 | AAP MEDICAL CONSULTING LLC | Internal Medicine, Infectious Disease | 100 DAIBES CT,
APT 1410 EDGEWATER, NJ, United States |
01-Feb-2016 |
| 1750775946 | ABA GROUP PRACTICE PA | Social Worker, Clinical | 1564 LEMOINE AVE,
FORT LEE, NJ, United States |
25-Mar-2015 |
| 1487815817 | STEPHANIE EVELYN ABBOTT | Massage Therapist | 931 S RIDGEWOOD AVE,
STE B-6 EDGEWATER, FL, United States |
18-Jun-2008 |
| 1073640405 | KRISTIN ABBOUD | Occupational Therapist | 2000 MEDICAL PKWY,
STE 101 ANNAPOLIS, MD, United States |
27-Feb-2007 |
| 1881187359 | MOHAMMAD ABBOUD | Emergency Medicine | 30 PROSPECT AVE,
HACKENSACK, NJ, United States |
11-Jun-2018 |
| 1689858011 | SAMIR ISA ABDELHADI | Internal Medicine, Critical Care Medicine | 103 RIVER RD,
STE 101 EDGEWATER, NJ, United States |
20-Dec-2007 |
| 1932491040 | SHERI ANN ABELL | Registered Nurse | 442 CHERRY DR,
EDGEWATER, MD, United States |
07-May-2011 |
| 1295275774 | HAYAT N ABERRA | Nurse Practitioner, Family | 3025 SOLOMONS ISLAND RD,
EDGEWATER, MD, United States |
02-Mar-2017 |
| 1144788746 | ACCESSIBLE HOME SOLUTIONS LLC | Contractor, Home Modifications | 2424 GRAY ST,
EDGEWATER, CO, United States |
04-Mar-2019 |
| 1700136579 | MAURA ACEVEDO | Pharmacist | 23 RUNYON RD,
CLIFTON, NJ, United States |
19-Sep-2012 |
| 1639689177 | ACME MARKETS INC | Durable Medical Equipment & Medical Supplies | 481 RIVER RD,
EDGEWATER, NJ, United States |
11-Oct-2017 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1902348659?1902348659 is the NPI number of 1ST MEDICAL PAINREHAB CENTER.
Where is 1ST MEDICAL PAINREHAB CENTER located?1ST MEDICAL PAINREHAB CENTER is located at 20 MAYO RD, EDGEWATER, MD.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|