Northern Parkway Treatment Services

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

905154 Issued in MD

Legal business name

NORTHERN PARKWAY TREATMENT SERVICES

Practice address

3007 E Northern Pkwy
Baltimore, MD 21214-1419

Phone

(443) 475-0737

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Babak Imanoel, D.O.NPI 1871546358

Title

Medical Director

Phone

(443) 475-0737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Tax ID family

Northern Parkway Treatment Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Parkway Treatment Services, Inc.

  • Recovery Care Clinic/Center
  • Baltimore, MD
  • NPI 1427432350
  NPD tax ID

Locations

Practitioners 1

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

• Babak Imanoel, DO

  • Internal Medicine Physician
  • Westminster, MD
  • NPI 1871546358
  NPD Authorized official

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574553600000",
    "number": "1447665641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 E NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141419",
            "telephone_number": "443-475-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 E NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141419",
            "telephone_number": "443-475-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PARKWAY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2019-11-24",
        "status": "A",
        "authorized_official_last_name": "IMANOEL",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-475-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": "905154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADAA CERTIFICATE NUMBER",
            "identifier": "905154",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Point Dental Associates
• North Point Medical Group, LLC
• Amanda Carlson North, M.D.
• Anders L North, LCSW-C
• Richard Boydston North, M.D.
• Northern Parkway Treatment Services, Inc.
• Northern Pharmacy
• Northern Pharmacy and Medical Equipment
• Northern Pharmacy and Medical Equipment, Inc
• Northern Pharmacy and Medical Equipment, Inc

• Methadone Clinic in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Methadone Clinic in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.