NPIMap

Organization Active NPI

Patient Centered Care of Cambridge

  • Pain Medicine Physician
  • Cambridge, MD
National Provider Identifier
1497357842
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PATIENT CENTERED CARE OF CAMBRIDGE
Practice address
3093 Beverly LN Unit a
Cambridge, MD 21613-3433
Phone
(410) 600-3940
Fax
(443) 200-0266
NPI assigned
Nov 11, 2020
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Stacey Paul
Title
Office Admin
Phone
(410) 600-3940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

3093 Beverly LN Unit a
Cambridge, MD 21613-3433

Mailing address

3093 Beverly LN Unit a
Cambridge, MD 21613-3433
Phone (410) 600-3940

National Provider Directory

National Provider Directory

Locations

2938 Ocean Gtwy
Cambridge, MD 21613
Phone (410) 600-3940

3093 Beverly Ln
#A
Cambridge, MD 21613
Phone (321) 750-7699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1497357842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 BEVERLY LN UNIT A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133433",
            "telephone_number": "410-600-3940",
            "fax_number": "443-200-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 BEVERLY LN UNIT A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133433",
            "telephone_number": "410-600-3940",
            "fax_number": "443-200-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED CARE OF CAMBRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "410-600-3940"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.