NPIMap

Organization Active NPI

Access Primary Care LLC

  • Primary Care Clinic/Center
  • Ocean City, MD
National Provider Identifier
1033550496
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ACCESS PRIMARY CARE LLC
Practice address
12308 Ocean Gtwy
Suite 3
Ocean City, MD 21842-9341
Phone
(410) 213-0119
Fax
(410) 213-2875
NPI assigned
Jul 15, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Crisanti, MDNPI 1598752271
Title
Medical Director
Phone
(410) 213-0119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD Primary

Addresses

Primary practice location

12308 Ocean Gtwy
Suite 3
Ocean City, MD 21842-9341

Mailing address

12308 Ocean Gtwy
Suite 3
Ocean City, MD 21842-9341
Phone (410) 213-0119

Other identifiers 3

IdentifierTypeStateIssuer
612301500MedicaidMD
D0050255OtherMDMEDICAL LICENSE
M41833OtherMDCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140131001037 MD Part B Supplier - Clinic/Group Practice 0345479986 Receives reassigned benefits from 18 practitioners
Practice locations: Ocean City, MD

National Provider Directory

National Provider Directory

Locations

12547 Ocean Gtwy
Ocean City, MD 21842
Phone (410) 213-0119

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033550496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 OCEAN GTWY",
            "address_2": "SUITE 3",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429341",
            "telephone_number": "410-213-0119",
            "fax_number": "410-213-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 OCEAN GTWY",
            "address_2": "SUITE 3",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429341",
            "telephone_number": "410-213-0119",
            "fax_number": "410-213-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CRISANTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-213-0119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612301500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0050255",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "M41833",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.