Organization Active NPI

ASC Renew Maryland Science and Tech Center

  • Ambulatory Surgical Clinic/Center
  • Bowie, MD
National Provider Identifier
1245493717
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ASC RENEW MARYLAND SCIENCE AND TECH CENTER
Practice address
4861 Telsa Dr
Suite a
Bowie, MD 20715-4318
Phone
(301) 262-8896
NPI assigned
Jul 5, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. James R. Benjamin, M.D.
Title
Medical Director
Phone
(301) 262-8896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4861 Telsa Dr
Suite a
Bowie, MD 20715-4318

Mailing address

16701 Melford Blvd
Suite 110
Bowie, MD 20715-4305
Phone (301) 262-8896

National Provider Directory

National Provider Directory

Locations

16701 Melford Blvd
Ste 110
Bowie, MD 20715

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1245493717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 MELFORD BLVD",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154305",
            "telephone_number": "301-262-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 TELSA DR",
            "address_2": "SUITE A",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154318",
            "telephone_number": "301-262-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC RENEW MARYLAND SCIENCE AND TECH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-05",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-262-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.