Organization Active NPI

Irene Services

  • Internal Medicine Physician
  • White Marsh, MD
National Provider Identifier
1700649902
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IRENE SERVICES
Practice address
5430 Campbell Blvd Ste 204
White Marsh, MD 21162-5504
Phone
(443) 823-5066
Fax
(443) 327-5266
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Zhenhua Jiang, PHD
Title
President
Phone
(443) 414-1625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5430 Campbell Blvd Ste 204
White Marsh, MD 21162-5504

Mailing address

5430 Campbell Blvd Ste 204
White Marsh, MD 21162-5504
Phone (443) 823-5066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313002108 MD Part B Supplier - Clinic/Group Practice 2264878180 Receives reassigned benefits from 1 practitioner
Practice locations: White Marsh, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2334318Irene Services5430 Campbell Blvd #204, White Marsh, MD 21162Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

5430 Campbell Blvd
Ste 204
White Marsh, MD 21162
Phone (443) 823-5066

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": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1700649902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD STE 204",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625504",
            "telephone_number": "443-823-5066",
            "fax_number": "443-327-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD STE 204",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625504",
            "telephone_number": "443-823-5066",
            "fax_number": "443-327-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "ZHENHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-414-1625",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Marsh, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.