Victory Medical Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VICTORY MEDICAL CENTER

Practice address

1101 N Point Blvd Ste 110
Baltimore, MD 21224-3417

Phone

(410) 624-5125

Fax

(410) 624-5126

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Adaramaja, NP

Title

Nurse Practioner

Phone

(443) 449-3003

Specialties & licenses 1

Addresses

Tax ID family

Victory Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Victory Medical Center

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1740798412
  NPD tax ID

Locations

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1124783907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N POINT BLVD STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243417",
            "telephone_number": "410-624-5125",
            "fax_number": "410-624-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N POINT BLVD STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243417",
            "telephone_number": "410-624-5125",
            "fax_number": "410-624-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ADARAMAJA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "443-449-3003",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Health Care Services LLC
• Victory Health Care Services LLC
• Victory Health Care Services LLC
• Victory Health Care Services LLC
• Victory Healthcare Services LLC
• Victory Medical Center
• Victree ,LLC (Penn Avenue Pharmacy And Medical Equipment)
• Carolina Vidal, M.D., M.P.H.
• Patrick Vidal, MD
• Lawrence Vidaver, MD

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.