NPIMap

Organization Active NPI

Shore Health System, Inc

  • Clinical Medical Laboratory
  • Cambridge, MD
National Provider Identifier
1770184558
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHORE HEALTH SYSTEM, INC
Practice address
300 Byrn St
Cambridge, MD 21613-1908
Phone
(410) 228-5511
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORE HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Kenneth Kozel
Title
President/Ceo
Phone
(410) 822-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

300 Byrn St
Cambridge, MD 21613-1908

Mailing address

219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000

Other names 1

  • Shore Health Lab-Dorchester Other name

National Provider Directory

National Provider Directory
Tax ID family
Shore Gynecology20 organizations share this tax ID, including this one
Part of
Shore Gynecology

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1770184558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000",
            "fax_number": "410-822-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BYRN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131908",
            "telephone_number": "410-228-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SYSTEM, INC.",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "KOZEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-822-1000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Health Lab-Dorchester",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.