Jamiel Sharief Hafiz, LPA, LAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004363 Issued in MD

Practice address

8838 Court Ave
Suite 101
Ellicott City, MD 21043-4614

Phone

(410) 227-4939

Fax

(877) 735-6141

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patapsco Health and Rehab, LLCGroup PAC ID 9234549056, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patapsco Health & Rehab LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MD
  • NPI 1982228045
  Medicare reassignment Care Compare group Authorized official
• Advanced Wellness Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • Rockville, MD
  • NPI 1982074415
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1730201773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STONE SPRING CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285367",
            "telephone_number": "410-227-4939",
            "fax_number": "877-735-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8838 COURT AVE",
            "address_2": "SUITE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434614",
            "telephone_number": "410-227-4939",
            "fax_number": "877-735-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFIZ",
        "first_name": "JAMIEL",
        "middle_name": "SHARIEF",
        "name_prefix": "Mr.",
        "credential": "LPA, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO1334",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Guy, LCPC
• Kelly Elizabeth Gwynne, M.S. SLP
• Mary Therese Gyi, PHARM.D.
• Amelia Larkin Haas, OTR/L
• Shanice Hackley, LCSW-C
• Susanne Michelle Hafiz, LAC
• Samirawit Hailemariam, CRNP
• Anna Lvovna Hain, LCPC
• Megan Haines, MA, CAS, NCSP, PBC
• Hak J. Seok, DDS, PC

• Medical Physician Assistant in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.