NPIMap

Organization Active NPI

Grasonville Health Services, Inc.

  • Methadone Clinic
  • Grasonville, MD
National Provider Identifier
1740969989
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GRASONVILLE HEALTH SERVICES, INC.
Practice address
101 Drummer Dr
Grasonville, MD 21638-1202
Phone
(443) 904-3424
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Dr. Moshe Markowitz, LCSW-C, LCADC
Title
Sponsor
Phone
(443) 904-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

101 Drummer Dr
Grasonville, MD 21638-1202

Mailing address

125 Slade Ave
Pikesville, MD 21208-4907
Phone (443) 904-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Oct 26, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809001826 MD Part B Supplier - Opioid Treatment Program (Otp) 7214475110 Practice locations: Grasonville, MD

National Provider Directory

National Provider Directory
Tax ID family
Grasonville Health Services 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.

Locations

101 Drummer Dr
Grasonville, MD 21638
Phone (410) 413-7880

Practitioners & affiliated clinicians

Practitioners 4

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": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1740969989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SLADE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084907",
            "telephone_number": "443-904-3424",
            "fax_number": "410-413-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DRUMMER DR",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381202",
            "telephone_number": "443-904-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASONVILLE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "MARKOWITZ",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "SPONSOR",
        "authorized_official_telephone_number": "443-904-3424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grasonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.