Organization Active NPI

Annapolis Lymphedema Center

  • Durable Medical Equipment & Medical Supplies
  • Annapolis, MD
National Provider Identifier
1700785508
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANNAPOLIS LYMPHEDEMA CENTER
Practice address
2525 Riva Rd Ste 130
Annapolis, MD 21401-7437
Phone
(410) 266-8010
Fax
(443) 782-2498
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ANNAPOLIS LYMPHEDEMA CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Runzun Shetye, DPT
Title
Owner
Phone
(339) 545-6361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2525 Riva Rd Ste 130
Annapolis, MD 21401-7437

Mailing address

2525 Riva Rd Ste 130
Annapolis, MD 21401-7437
Phone (410) 266-8010

NPI Registry JSON

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1700785508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 RIVA RD STE 130",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017437",
            "telephone_number": "410-266-8010",
            "fax_number": "443-782-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 RIVA RD STE 130",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017437",
            "telephone_number": "410-266-8010",
            "fax_number": "443-782-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS LYMPHEDEMA CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNAPOLIS LYMPHEDEMA CENTER",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "SHETYE",
        "authorized_official_first_name": "RUNZUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "339-545-6361",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.