NPIMap

Organization Active NPI

Eastside Medical Care

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1285123869
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EASTSIDE MEDICAL CARE
Practice address
732B E Main St
Salisbury, MD 21804-5037
Phone
(410) 251-5200
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Syed Jaffery, MD
Title
Director
Phone
(410) 219-5200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD

Addresses

Primary practice location

732B E Main St
Salisbury, MD 21804-5037

Mailing address

732B E Main St
Salisbury, MD 21804-5037

National Provider Directory

National Provider Directory

Locations

732B E Main St
Salisbury, MD 21804
Phone (410) 219-5200

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1285123869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732B E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732B E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045037",
            "telephone_number": "410-251-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "JAFFERY",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-219-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.