NPIMap

Organization Active NPI

Chesapeake Treatment Services Ocean City LLC

Doing business as Brightview Health

  • Addiction Medicine (Internal Medicine) Physician
  • Ocean City, MD
National Provider Identifier
1104519107
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
CHESAPEAKE TREATMENT SERVICES OCEAN CITY LLC
Doing business as
Brightview Health
Practice address
12417 Ocean Gtwy Ste 7
Ocean City, MD 21842-9522
Phone
(833) 510-4357
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIGHTVIEW LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Amy Marie Nieman
Title
Director
Phone
(513) 544-1003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

12417 Ocean Gtwy Ste 7
Ocean City, MD 21842-9522

Mailing address

4600 Montgomery Rd
Cincinnati, OH 45212-2697
Phone (833) 510-4357

Other names 1

  • Brightview Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816000048 MD Part B Supplier - Clinic/Group Practice 9335518315 Receives reassigned benefits from 7 practitioners
Practice locations: Ocean City, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Treatment Services Ocean City LLC2 organizations share this tax ID, including this one
Part of
Chesapeake Treatment Services Ocean City LLC

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12417 Ocean Gtwy
Ste 7
Ocean City, MD 21842
Phone (300) 373-2113

Practitioners & affiliated clinicians

Practitioners 7

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1104519107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122697",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 OCEAN GTWY STE 7",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429522",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE TREATMENT SERVICES OCEAN CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTVIEW LLC",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-544-1003"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightview Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 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.