Active NPI
ASC Renew Maryland Science and Tech Center
- Ambulatory Surgical Clinic/Center
- Bowie, MD
National Provider Identifier
1245493717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.