Organization Active NPI

Riaz a. Janjua, M.D.

  • Specialist
  • Cumberland, MD
National Provider Identifier
1225226210
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0022029 Issued in MD
Legal business name
RIAZ A. JANJUA, M.D.
Practice address
625 Kent Ave
Suite 302
Cumberland, MD 21502-3794
Phone
(301) 777-1930
Fax
(301) 777-8470
NPI assigned
Oct 4, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Riaz JanjuaNPI 1508865908
Title
Owner
Phone
(301) 777-1930

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
Specialist 174400000X D0022029 MD Primary

Addresses

Primary practice location

625 Kent Ave
Suite 302
Cumberland, MD 21502-3794

Mailing address

625 Kent Ave
Suite 302
Cumberland, MD 21502-3794
Phone (301) 777-1930

Other identifiers 1

IdentifierTypeStateIssuer
3810002584MedicaidWV

National Provider Directory

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1225226210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENT AVE",
            "address_2": "SUITE 302",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023794",
            "telephone_number": "301-777-1930",
            "fax_number": "301-777-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENT AVE",
            "address_2": "SUITE 302",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023794",
            "telephone_number": "301-777-1930",
            "fax_number": "301-777-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIAZ A. JANJUA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "JANJUA",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-777-1930"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0022029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002584",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.