Active NPI
Endoscopy Center of North Baltimore LLC
- Ambulatory Surgical Clinic/Center
- Towson, MD
National Provider Identifier
1417987595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1385
- Legal business name
- ENDOSCOPY CENTER OF NORTH BALTIMORE LLC
- Practice address
- 1220C E Joppa Rd
Suite A508
Towson, MD 21286-5814 - Phone
- (410) 296-4415
- Fax
- (410) 296-4417
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bailey
- Title
- Officer / Ao
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1385 | MD | Primary |
Addresses
Primary practice location
1220C E Joppa Rd
Suite A508
Towson, MD 21286-5814
Mailing address
1220C E Joppa Rd
Suite A508
Towson, MD 21286-5814
Phone (410) 296-4415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402893700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000350 | MD | Part B Supplier - Ambulatory Surgical Center | 2264346584 | Practice locations: Towson, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopy Center of North Baltimore
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Endoscopy Center of North Baltlimore
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Towson, MD
- NPI 1821261298
Locations
1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415
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.
-
- Clinic/Center
- Towson, MD
- NPI 1821261298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1417987595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220C E JOPPA RD",
"address_2": "SUITE A508",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865814",
"telephone_number": "410-296-4415",
"fax_number": "410-296-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220C E JOPPA RD",
"address_2": "SUITE A508",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865814",
"telephone_number": "410-296-4415",
"fax_number": "410-296-4417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOSCOPY CENTER OF NORTH BALTIMORE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER / AO",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402893700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
- Empowerment Health Services Inc
- Endeavour Healthcare LLC (Endeavour Healthcare)
- Endoscopic Microsurgery Associates
- Endoscopy Associates LLC (Endoscopy Associates Center)
- Endoscopy Center at Towson, Inc
- Endoscopy Center of North Baltlimore
- Katja Engel-Hughes, LGPC
- Lisa R Engel, PH.D
- Candice England
- Adriane English, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.