NPIMap

Organization Active NPI

Dynamic Health System Inc

  • Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1669074431
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
DYNAMIC HEALTH SYSTEM INC
Practice address
940 Madison Ave Ste 101
Baltimore, MD 21201-2113
Phone
(410) 598-2219
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Ahmed Olayinka Anibaba
Title
Ceo
Phone
(443) 708-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

940 Madison Ave Ste 101
Baltimore, MD 21201-2113

Mailing address

940 Madison Ave Ste 101
Baltimore, MD 21201-2113
Phone (410) 598-2219

Other identifiers 1

IdentifierTypeStateIssuer
1184155749MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Health System4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1669074431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "410-598-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "410-598-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "ANIBABA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "OLAYINKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-708-2598"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184155749",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.