NPIMap

Organization Active NPI

First Medicine Clinical Associates Inc.

  • Prevention Professional
  • Annapolis, MD
National Provider Identifier
1053852657
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
FIRST MEDICINE CLINICAL ASSOCIATES INC.
Practice address
2562 Hidden Cove Rd
Annapolis, MD 21401-6815
Phone
(540) 529-5472
NPI assigned
Mar 15, 2017
Last updated
Jul 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Dr. Naiyer Imam, MD
Title
Owner
Phone
(540) 529-5472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X NU Primary

Addresses

Primary practice location

2562 Hidden Cove Rd
Annapolis, MD 21401-6815

Mailing address

2562 Hidden Cove Rd
Annapolis, MD 21401-6815
Phone (540) 529-5472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1053852657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 HIDDEN COVE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016815",
            "telephone_number": "540-529-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 HIDDEN COVE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016815",
            "telephone_number": "540-529-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MEDICINE CLINICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "NAIYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-529-5472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.