Individual provider Active NPI

Adina Noff, CRNP

  • Pediatric Nurse Practitioner
  • Towson, MD
National Provider Identifier
1740684208
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
20140690 Issued in MD
Practice address
120 Sister Pierre Dr Ste 407
Towson, MD 21204-7536
Phone
(410) 769-8801
Fax
(410) 769-8803
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 20140690 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr Ste 407
Towson, MD 21204-7536

Mailing address

120 Sister Pierre Dr Ste 407
Towson, MD 21204-7536
Phone (410) 769-8801

Other practice location 1

2 Hamill Rd
Suite 405
Baltimore, MD 21210-1806
Phone (410) 323-1804

Other identifiers 1

IdentifierTypeStateIssuer
464431000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170420001600 MD Practitioner - Nurse Practitioner 1557647872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20140690MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. CurrentSince Jan 28, 2017 Accepting new patients
Cross Keys Pediatrics LLC PastSince Feb 1, 2025 Accepting new patients
Nardine Assaad, MD, LLC Past Accepting new patients

Locations

345 Saint Paul St
Fl 10
Baltimore, MD 21202
Phone (410) 332-9550

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1740684208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "410-769-8801",
            "fax_number": "410-769-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "410-769-8801",
            "fax_number": "410-769-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hamill Rd",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212101806",
            "country_code": "US",
            "telephone_number": "410-323-1804",
            "fax_number": "410-323-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOFF",
        "first_name": "ADINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "20140690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464431000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.