Individual provider Active NPI

Janice Sendak, CRNA

  • Anesthesiology Physician
  • Towson, MD
National Provider Identifier
1477536860
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R079151 Issued in MD
Practice address
515 Fairmount Ave
Towson, MD 21286-5466
Phone
(410) 296-5300
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R079151 MD Primary

Addresses

Primary practice location

515 Fairmount Ave
Towson, MD 21286-5466

Mailing address

515 Fairmount Ave
Ste 100a
Towson, MD 21286-8520
Phone (410) 819-0710

Other identifiers 1

IdentifierTypeStateIssuer
020701200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janice.sendak.p2@direct.clinicalassociates.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R079151MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Anesthesia Services a, LLC Anesthesiology Past Accepting new patients
Hunt Valley Anesthesia Associates, PA Past Accepting new patients
Clinical Associates P a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janice.sendak.p2@direct.clinicalassociates.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1477536860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "address_2": "STE 100A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868520",
            "telephone_number": "410-819-0710",
            "fax_number": "410-819-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-296-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDAK",
        "first_name": "JANICE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "R079151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020701200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janice.sendak.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "515 Fairmount Ave",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.