NPIMap

Organization Active NPI

Pba Associates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1477957439
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
905143 Issued in MD
Legal business name
PBA ASSOCIATES, INC
Practice address
115 N Monroe St
Baltimore, MD 21223-1641
Phone
(443) 708-4391
Fax
(443) 708-4436
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Mr. Arnie E Akpan
Title
Program Director
Phone
(443) 708-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 905143 MD Primary

Addresses

Primary practice location

115 N Monroe St
Baltimore, MD 21223-1641

Mailing address

115 N Monroe St
Baltimore, MD 21223-1641
Phone (443) 708-4391

Other identifiers 1

IdentifierTypeStateIssuer
4226222400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Pba Associates Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1477957439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MONROE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231641",
            "telephone_number": "443-708-4391",
            "fax_number": "443-708-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MONROE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231641",
            "telephone_number": "443-708-4391",
            "fax_number": "443-708-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBA ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "AKPAN",
        "authorized_official_first_name": "ARNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-708-4391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "905143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4226222400",
            "state": "MD"
        }
    ],
    "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 Oct 20, 2014; 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.