Organization Active NPI

Equip Health Services

  • Addiction Medicine (Family Medicine) Physician
  • Halethorpe, MD
National Provider Identifier
1366733313
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
D0057747 Issued in MD
Legal business name
EQUIP HEALTH SERVICES
Practice address
1335 Linden Ave
Ste 1
Halethorpe, MD 21227-2407
Phone
(410) 737-8780
NPI assigned
Apr 26, 2011
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Akinlawon Olugbenga Ayeni, MD
Title
Owner
Phone
(703) 408-8328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X D0057747 MD Primary

Addresses

Primary practice location

1335 Linden Ave
Ste 1
Halethorpe, MD 21227-2407

Mailing address

1335 Linden Ave
Ste 1
Halethorpe, MD 21227-2407
Phone (410) 737-8780

National Provider Directory

National Provider Directory

Locations

1335 Linden Ave
Ste 1
Halethorpe, MD 21227
Phone (410) 737-8780

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1366733313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 LINDEN AVE",
            "address_2": "STE 1",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272407",
            "telephone_number": "410-737-8780",
            "fax_number": "410-737-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 LINDEN AVE",
            "address_2": "STE 1",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272407",
            "telephone_number": "410-737-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIP HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "AKINLAWON",
        "authorized_official_middle_name": "OLUGBENGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-408-8328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0057747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halethorpe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.