Active NPI
George J Jabaji, M.D.
- Specialist
- Rosedale, MD
National Provider Identifier
1114962040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0022481
- Practice address
- 9114 Philadelphia Rd
Suite 308
Rosedale, MD 21237-4317 - Phone
- (410) 682-4433
- Fax
- (410) 682-4051
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0022481 | MD | Primary |
Addresses
Primary practice location
9114 Philadelphia Rd
Suite 308
Rosedale, MD 21237-4317
Mailing address
9114 Philadelphia Rd
Suite 308
Rosedale, MD 21237-4317
Phone (410) 682-4433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 798691200 | Medicaid | MD | |
| 441302400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1114962040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 PHILADELPHIA RD",
"address_2": "SUITE 308",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374317",
"telephone_number": "410-682-4433",
"fax_number": "410-682-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 PHILADELPHIA RD",
"address_2": "SUITE 308",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374317",
"telephone_number": "410-682-4433",
"fax_number": "410-682-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABAJI",
"first_name": "GEORGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0022481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "798691200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "441302400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
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- Taha M Issa
- J&M Counseling and Counseling Education Services LLC
- Joanne Lisa Jackson Goodman, LMSW
- D'Shanna Jean Jackson-Smith
- Amanda Lillian Jackson
- Madison Dore Jackson, LCSW-C
- Ari Jacobson, LCPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.