Eden Health Medical of Maryland PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDEN HEALTH MEDICAL OF MARYLAND PC

Practice address

7200 Wisconsin Ave Ste 500
Bethesda, MD 20814-4833

Phone

(917) 261-4420

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Rajan Shah, MD

Title

President

Phone

(917) 261-4414

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anish J Mehta, MD

  • Hospitalist Physician
  • New York, NY
  • NPI 1841672672

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1548844061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST STE 510",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031258",
            "telephone_number": "917-261-4414",
            "fax_number": "917-261-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WISCONSIN AVE STE 500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144833",
            "telephone_number": "917-261-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HEALTH MEDICAL OF MARYLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-261-4414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Scott Eckland, PH.D.
• Barbara R. Eckman, LCSW
• Eclectic Therapy Collective, LLC
• Ruth Edelman, PHD
• Richard Nathen Edelson, MD
• Henry Spencer Eden, MD
• Lauren Rachel Eden
• Jess David Edison, M.D.
• Kristen June Edma, MS, ATC
• Byron Karl Edmond, MD

• Internal Medicine Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.