NPIMap

Organization Active NPI

Jay Seidel DPM PA Inc

  • Podiatric Clinic/Center
  • Baltimore, MD
National Provider Identifier
1699187096
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
01551 Issued in MD
Legal business name
JAY SEIDEL DPM PA INC
Practice address
5508 Harford Rd
Baltimore, MD 21214-2231
Phone
(410) 426-5508
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Jay Seidel, DPMNPI 1699063511
Title
Owner
Phone
(410) 905-5496

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 01551 MD Primary
Durable Medical Equipment & Medical Supplies 332B00000X 01551 MD

Addresses

Primary practice location

5508 Harford Rd
Baltimore, MD 21214-2231

Mailing address

5508 Harford Rd
Baltimore, MD 21214-2231
Phone (410) 426-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140822002652 MD DME Supplier - Physician - Podiatry 2567680184 Practice locations: Baltimore, MD
O20140916001206 MD Part B Supplier - Clinic/Group Practice 2567680184 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Baltimore, MD; Bel Air, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Jay Seidel DPM PA Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1699187096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142231",
            "telephone_number": "410-426-5508",
            "fax_number": "410-426-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142231",
            "telephone_number": "410-426-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY SEIDEL DPM PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-905-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "01551",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "01551",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 10, 2015; 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.