NPIMap

Organization Active NPI

Pregnancy Aid Centers, Inc.

Doing business as Pregnancy Aid Center

  • Obstetrics & Gynecology Nurse Practitioner
  • College Park, MD
National Provider Identifier
1609931849
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
Legal business name
PREGNANCY AID CENTERS, INC.
Doing business as
Pregnancy Aid Center
Practice address
4700 Erie St
College Park, MD 20740
Phone
(301) 345-2050
Fax
(877) 579-9849
NPI assigned
Dec 27, 2006
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mary Jelacic
Title
Executive Director
Phone
(240) 606-5598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X MD Primary

Addresses

Primary practice location

4700 Erie St
College Park, MD 20740

Mailing address

4700 Erie St
College Park, MD 20740
Phone (301) 345-2050

Other identifiers 1

IdentifierTypeStateIssuer
288341400MedicaidMD

Other names 1

  • Pregnancy Aid Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2043144Pregnancy Aid Center4700 Erie Street, College Park, MD 20740Provider-performed microscopyJun 27, 2028

National Provider Directory

National Provider Directory

Locations

4809 Greenbelt Rd
College Park, MD 20740
Phone (301) 441-9150

Practitioners & affiliated clinicians

Practitioners 5

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1609931849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ERIE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "301-345-2050",
            "fax_number": "877-579-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ERIE ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "301-345-2050",
            "fax_number": "877-579-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREGNANCY AID CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "JELACIC",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-606-5598"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288341400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pregnancy Aid Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pregnancy Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.