Kid's Neuro

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

Legal business name

KID'S NEURO

Practice address

7912 Declaration LN
Potomac, MD 20854-3754

Phone

(301) 320-6665

Fax

(301) 273-2773

NPI assigned

Jan 10, 2025

Organization subpart

No

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

Authorized official

Name

Joyce Crenshaw

Title

Billing Supervisor

Phone

(301) 841-7251

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvia Alexandra Edelstein, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Cabin John, MD
  • NPI 1225136989
  NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1396555439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 DECLARATION LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543754",
            "telephone_number": "301-320-6665",
            "fax_number": "301-273-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 DECLARATION LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543754",
            "telephone_number": "301-320-6665",
            "fax_number": "301-273-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S NEURO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "301-841-7251"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Schwarz Therapy, LLC (Maryland Mental Health Counseling)
• Kasra Khamooshi
• Irfan Ahmad Khan, PHARM.D.
• Savan Nand Khanna, PHARMD
• Hanieh Khorshidi, BSN, AGNP-BC
• Hae Jin Kim, DDS
• Sara C Kim
• Kinetic Cardiology Services
• Kinetic Medical Group
• Kinetic Palliative Group

• Pediatric Neurodevelopmental Disabilities Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.