Organization Active NPI

Joseph Healthcare Agency LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1760208979
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JOSEPH HEALTHCARE AGENCY LLC
Practice address
4339 York Rd
Baltimore, MD 21212-4818
Phone
(410) 206-6081
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Nyeinpu Woahtee
Title
Provider
Phone
(410) 206-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4339 York Rd
Baltimore, MD 21212-4818

Mailing address

4339 York Rd
Baltimore, MD 21212-4818
Phone (410) 206-6081

National Provider Directory

National Provider Directory

Locations

4339 York Rd
Baltimore, MD 21212
Phone (410) 206-6081

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1760208979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124818",
            "telephone_number": "410-206-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124818",
            "telephone_number": "410-206-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WOAHTEE",
        "authorized_official_first_name": "NYEINPU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "410-206-6081"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.