NPIMap

Organization Active NPI

Ez Primed LLC

  • Internal Medicine Physician
  • Timonium, MD
National Provider Identifier
1619614724
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EZ PRIMED LLC
Practice address
2219 York Rd Ste 106
Timonium, MD 21093-3174
Phone
(410) 453-0002
Fax
(410) 453-0380
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Ms. Youna Raminfar, PA-CNPI 1134512692
Title
Clinical Manager
Phone
(347) 232-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2219 York Rd Ste 106
Timonium, MD 21093-3174

Mailing address

2219 York Rd Ste 106
Timonium, MD 21093-3174
Phone (410) 453-0002

Other names 1

  • allan j chircus MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220814000022 MD Part B Supplier - Clinic/Group Practice 3779966437 Receives reassigned benefits from 2 practitioners
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

2219 York Rd
Ste 106
Timonium, MD 21093
Phone (410) 453-0002

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1619614724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 YORK RD STE 106",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933174",
            "telephone_number": "410-453-0002",
            "fax_number": "410-453-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 YORK RD STE 106",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933174",
            "telephone_number": "410-453-0002",
            "fax_number": "410-453-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ PRIMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "RAMINFAR",
        "authorized_official_first_name": "YOUNA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "347-232-3313",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "allan j chircus MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.