NPIMap

Organization Active NPI

Crossroads Weight Management, LLC

Doing business as Center for Medical Weight Loss

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1669720033
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D42561 Issued in MD
Legal business name
CROSSROADS WEIGHT MANAGEMENT, LLC
Doing business as
Center for Medical Weight Loss
Practice address
307 S Eaton St Ste a
Baltimore, MD 21224-2525
Phone
(410) 337-8446
NPI assigned
Aug 16, 2012
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Martin Passen, MDNPI 1093708877
Title
Owner/Physician
Phone
(410) 337-8446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D42561 MD Primary

Addresses

Primary practice location

307 S Eaton St Ste a
Baltimore, MD 21224-2525

Mailing address

307 S Eaton St Ste a
Baltimore, MD 21224-2525
Phone (410) 337-8446

Other names 1

  • Center for Medical Weight Loss Doing business as

National Provider Directory

National Provider Directory

Locations

307 S Eaton St
Ste A
Baltimore, MD 21224
Phone (410) 337-8446

2360 W Joppa Rd
Ste 315
Timonium, MD 21093
Phone (410) 205-6218

Practitioners & affiliated clinicians

Practitioners 1

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": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1669720033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EATON ST STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242525",
            "telephone_number": "410-337-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S EATON ST STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242525",
            "telephone_number": "410-337-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS WEIGHT MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2025-09-02",
        "certification_date": "2025-06-21",
        "status": "A",
        "authorized_official_last_name": "PASSEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-337-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Medical Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2025; 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.