NPIMap

Organization Active NPI

Novum Health Services Incorporated

  • Primary Care Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1669238283
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NOVUM HEALTH SERVICES INCORPORATED
Practice address
1404 Crain Hwy S Ste 112
Glen Burnie, MD 21061-4056
Phone
(443) 698-8250
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Yeside Ojo, DNPNPI 1760934913
Title
Ceo
Phone
(240) 682-6288

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1404 Crain Hwy S Ste 112
Glen Burnie, MD 21061-4056

Mailing address

1404 Crain Hwy S Ste 112
Glen Burnie, MD 21061-4056
Phone (443) 698-8250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208001049 MD Part B Supplier - Clinic/Group Practice 6204279045 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Burnie, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Novum Health Services Incorporated4 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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1669238283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CRAIN HWY S STE 112",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614056",
            "telephone_number": "443-698-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 CRAIN HWY S STE 112",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614056",
            "telephone_number": "443-698-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUM HEALTH SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "YESIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-682-6288",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.