NPIMap

Organization Active NPI

Innovate Healthcare and Allied Services

  • Family Medicine Physician
  • Crofton, MD
National Provider Identifier
1063234342
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INNOVATE HEALTHCARE AND ALLIED SERVICES
Practice address
1952 Pawlet Dr
Crofton, MD 21114-1687
Phone
(301) 256-8987
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Aderonke Abatan, NPNPI 1174197040
Title
Owner
Phone
(301) 256-8987

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1952 Pawlet Dr
Crofton, MD 21114-1687

Mailing address

1952 Pawlet Dr
Crofton, MD 21114-1687
Phone (301) 256-8987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1063234342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 PAWLET DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141687",
            "telephone_number": "301-256-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 PAWLET DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141687",
            "telephone_number": "301-256-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATE HEALTHCARE AND ALLIED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "ABATAN",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-256-8987",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.