NPIMap

Organization Active NPI

Maple Shade Youth & Family Services, Inc.

  • Case Management Agency
  • Princess Anne, MD
National Provider Identifier
1093045304
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAPLE SHADE YOUTH & FAMILY SERVICES, INC.
Practice address
11760 Somerset Ave
Princess Anne, MD 21853-1239
Phone
(410) 621-5177
Fax
(410) 621-5051
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Niru Jani
Title
Ceo
Phone
(410) 742-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

11760 Somerset Ave
Princess Anne, MD 21853-1239

Mailing address

11760 Somerset Ave Ste a
Princess Anne, MD 21853-1239
Phone (410) 621-5177

Other practice location 1

11793 Somerset Ave
Princess Anne, MD 21853-1240
Phone (410) 202-2753

National Provider Directory

National Provider Directory
Tax ID family
Maple Shade Youth Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

11760 Somerset Ave
Ste A
Princess Anne, MD 21853

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1093045304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SOMERSET AVE STE A",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531239",
            "telephone_number": "410-621-5177",
            "fax_number": "410-621-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SOMERSET AVE",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531239",
            "telephone_number": "410-621-5177",
            "fax_number": "410-621-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11793 Somerset Ave",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531240",
            "country_code": "US",
            "telephone_number": "410-202-2753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAPLE SHADE YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "NIRU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-742-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.