Jev Plastic Surgery and Medical Aesthetics, LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JEV PLASTIC SURGERY AND MEDICAL AESTHETICS, LLC.

Practice address

4 Park Center Court
Suite 100
Owings Mills, MD 21117

Phone

(410) 484-8860

Fax

(410) 484-2566

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Carrie A. Houssock, M.D.

Title

President

Phone

(410) 484-8860

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1518597301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER COURT",
            "address_2": "SUITE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-484-8860",
            "fax_number": "410-484-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER COURT",
            "address_2": "SUITE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-484-8860",
            "fax_number": "410-484-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEV PLASTIC SURGERY AND MEDICAL AESTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HOUSSOCK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-484-8860",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21C-6000123",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Goldman, O.D., LLC
• Jeremy Rosenfeld DDS, LLC
• Nikol Jerez
• Jerome S Plasse MD PA
• Kira Jessup
• Jev Surgery Center, LLC
• Jewish Community Services, Inc.
• Jewish Community Services, Inc.
• Inkyung Ji
• Lisa M Jibril, LMSW

• Ambulatory Surgical Clinic/Center in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.