NPIMap

Organization Active NPI

MXJ Healthcare LLC

  • Addiction Medicine (Family Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1174380679
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
MXJ HEALTHCARE LLC
Doing business as
MXJ Healthcare LLC
Practice address
3730 Falls Rd
Baltimore, MD 21211-1844
Phone
(443) 414-9573
NPI assigned
Mar 1, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mr. Malcolm JefferiesNPI 1578223400
Title
Owner
Phone
(443) 414-9573

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
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

3730 Falls Rd
Baltimore, MD 21211-1844

Mailing address

2368 Flax Ter
Baltimore, MD 21209-4624
Phone (443) 414-9573

Other names 1

  • MXJ HEALTHCARE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MXJ Healthcare LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, 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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1174380679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 FLAX TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094624",
            "telephone_number": "443-414-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111844",
            "telephone_number": "443-414-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MXJ HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "JEFFERIES",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-414-9573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MXJ HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MXJ HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.