Individual provider Active NPI

Jason Worobey, FNP-BC

  • Family Nurse Practitioner
  • Edgewater, MD
National Provider Identifier
1770913816
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R203622 Issued in MD
Practice address
69 Mayo Rd Ste 204
Edgewater, MD 21037-1847
Phone
(443) 223-2479
Fax
(443) 223-2479
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R203622 MD Primary

Addresses

Primary practice location

69 Mayo Rd Ste 204
Edgewater, MD 21037-1847

Mailing address

69 Mayo Rd Ste 204
Edgewater, MD 21037-1847
Phone (443) 223-2479

Other practice location 1

7625 Maple Lawn Blvd
Ste 260
Fulton, MD 20759-2565
Phone (301) 490-3700

Other identifiers 1

IdentifierTypeStateIssuer
5321417600MedicaidMD

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
I20160606002086 MD Practitioner - Nurse Practitioner 1759511199 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Pain Management LLC CurrentSince Jun 26, 2017 Accepting new patients
Global Pain Management CurrentSince Jun 26, 2017 Accepting new patients
All Star Pain Management and Regenerative Medicine, LLC CurrentSince Oct 6, 2024 Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Spine and Pain Centers, PLLC PastSince May 15, 2016 Accepting new patients

Locations

166 Defense Hwy
Ste 300
Annapolis, MD 21401
Phone (443) 808-1808

4201 Northview Dr
Ste 502
Bowie, MD 20716
Phone (443) 808-1808

8031 Ritchie Hwy
Ste 202
Pasadena, MD 21122
Phone (443) 821-4050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770913816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MAYO RD STE 204",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371847",
            "telephone_number": "443-223-2479",
            "fax_number": "443-499-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAYO RD STE 204",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371847",
            "telephone_number": "443-223-2479",
            "fax_number": "443-223-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "STE 260",
            "address_purpose": "LOCATION",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "country_code": "US",
            "telephone_number": "301-490-3700",
            "fax_number": "301-490-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOROBEY",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5321417600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.