Organization Active NPI

Ezcare Clinic LLC

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1447735352
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EZCARE CLINIC LLC
Practice address
1519 W Patrick St Ste A1
Frederick, MD 21702-3763
Phone
(832) 874-8642
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Delphine Aya Batcha, FNP,BCNPI 1225570609
Title
FNP
Phone
(832) 874-8642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1519 W Patrick St Ste A1
Frederick, MD 21702-3763

Mailing address

9553 Brigadoon LN
Frederick, MD 21704-7863

Other names 1

  • EZCARE CLINIC LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127001858 MD Part B Supplier - Clinic/Group Practice 1052725314 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1447735352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9553 BRIGADOON LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W PATRICK ST STE A1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023763",
            "telephone_number": "832-874-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "BATCHA",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "AYA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "832-874-8642",
        "authorized_official_credential": "FNP,BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZCARE CLINIC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.