Organization Active NPI

Nardine Assaad, MD, LLC

  • Pediatrics Physician
  • Sparks Glencoe, MD
National Provider Identifier
1043185226
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NARDINE ASSAAD, MD, LLC
Practice address
913 Ridgebrook Rd Ste 312
Sparks Glencoe, MD 21152-9457
Phone
(410) 769-8801
Fax
(410) 769-8803
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NARDINE ASSAAD, MD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Nardine Assaad
Title
Owner
Phone
(717) 304-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

913 Ridgebrook Rd Ste 312
Sparks Glencoe, MD 21152-9457

Mailing address

120 Sister Pierre Dr Ste 407
Towson, MD 21204-7536
Phone (410) 769-8801

National Provider Directory

National Provider Directory
Tax ID family
Nardine Assaad MD LLC3 organizations share this tax ID, including this one
Part of
Nardine Assaad MD LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1043185226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "410-769-8801",
            "fax_number": "410-769-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 RIDGEBROOK RD STE 312",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529457",
            "telephone_number": "410-769-8801",
            "fax_number": "410-769-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARDINE ASSAAD, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NARDINE ASSAAD, MD, LLC",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ASSAAD",
        "authorized_official_first_name": "NARDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-304-3205"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks Glencoe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.