Organization Active NPI

Nold and Escobosa P a

  • Pediatrics Physician
  • Annapolis, MD
National Provider Identifier
1386760254
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NOLD AND ESCOBOSA P A
Doing business as
Bayside Pediatrics
Practice address
2024 West St Ste 400
Annapolis, MD 21401-3552
Phone
(410) 224-7667
Fax
(410) 573-4926
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Jeffrey Nold, DO
Title
Owner
Phone
(410) 224-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2024 West St Ste 400
Annapolis, MD 21401-3552

Mailing address

2568A Riva Rd Ste 103
Annapolis, MD 21401-7457
Phone (410) 224-7667

Other names 1

  • Bayside Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0979507Bayside Pediatrics PA2024 West St Ste 400, Annapolis, MD 21401Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

2024 West St
Ste 400
Annapolis, MD 21401
Phone (410) 224-7667

2568A Riva Rd
Ste 103
Annapolis, MD 21401
Phone (410) 224-7667

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1386760254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568A RIVA RD STE 103",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017457",
            "telephone_number": "410-224-7667",
            "fax_number": "410-573-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WEST ST STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013552",
            "telephone_number": "410-224-7667",
            "fax_number": "410-573-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLD AND ESCOBOSA P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "NOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-224-3848",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.