Organization Active NPI

GJ Medical Office LLC

  • Non-Pharmacy Dispensing Site
  • Baltimore, MD
National Provider Identifier
1457653883
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
1574 Issued in MD
Legal business name
GJ MEDICAL OFFICE LLC
Practice address
2835 Smith Ave
Suite 207
Baltimore, MD 21209-1453
Phone
(410) 580-0900
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Julian D Jakobovits, MD
Title
Member
Phone
(410) 580-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 1574 MD Primary

Addresses

Primary practice location

2835 Smith Ave
Suite 207
Baltimore, MD 21209-1453

Mailing address

2835 Smith Ave
Suite 207
Baltimore, MD 21209-1453
Phone (410) 580-0900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1457653883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091453",
            "telephone_number": "410-580-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091453",
            "telephone_number": "410-580-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJ MEDICAL OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "JAKOBOVITS",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-580-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.