Jose P Nepomuceno MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D16445 Issued in MD

Legal business name

JOSE P NEPOMUCENO MD PA

Practice address

7845 Oakwood Rd
103
Glen Burnie, MD 21061-4256

Phone

(410) 768-2048

Fax

(410) 768-9171

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jose Nepomuceno, M.D.

Title

President

Phone

(410) 802-1206

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1457698706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD",
            "address_2": "103",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614256",
            "telephone_number": "410-768-2048",
            "fax_number": "410-768-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD",
            "address_2": "103",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614256",
            "telephone_number": "410-768-2048",
            "fax_number": "410-768-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE P NEPOMUCENO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "NEPOMUCENO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-802-1206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D16445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012126",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Jones
• Shironda A Jones, CPT
• Stacey Jones, MSW
• Tracy Jordan, LCSW-C
• Lexie Jordon
• Dahlia Joseph, NP
• Jaina Jethalal Joshi, DPT
• Sherri Monique Joynes
• JP Lymphacare LLC
• Just Ducky Behavioral Health

• Medical Specialty Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.