NPIMap

Organization Active NPI

Maryland Regenerative Therapy

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Rockville, MD
National Provider Identifier
1356935019
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MARYLAND REGENERATIVE THERAPY
Practice address
50 W Edmonston Dr Ste 602
Rockville, MD 20852-1216
Phone
(301) 444-4890
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Itamar Simhon, CRNP
Title
Owner
Phone
(301) 444-4890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

50 W Edmonston Dr Ste 602
Rockville, MD 20852-1216

Mailing address

50 W Edmonston Dr Ste 602
Rockville, MD 20852-1216
Phone (301) 444-4890

Other names 1

  • Prime Care Health Doing business as

National Provider Directory

National Provider Directory

Locations

50 W Edmonston Dr
Ste 602
Rockville, MD 20852
Phone (301) 444-4890

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1356935019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521216",
            "telephone_number": "301-444-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521216",
            "telephone_number": "301-444-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND REGENERATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "SIMHON",
        "authorized_official_first_name": "ITAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-444-4890",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.