Organization Active NPI

Maryland Injury Clinics

  • Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1780171579
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARYLAND INJURY CLINICS
Practice address
4 Park Ave Ste 250
Gaithersburg, MD 20877-2893
Phone
(301) 869-9001
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Jherson Enrique Orosco Marino
Title
Owner
Phone
(301) 869-9001

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Health Service Clinic/Center 261QH0100X
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

4 Park Ave Ste 250
Gaithersburg, MD 20877-2893

Mailing address

4 Park Ave Ste 250
Gaithersburg, MD 20877-2893
Phone (301) 869-9001

National Provider Directory

National Provider Directory

Locations

4 Park Ave
Ste 250
Gaithersburg, MD 20877
Phone (301) 869-9001

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1780171579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK AVE STE 250",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772893",
            "telephone_number": "301-869-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK AVE STE 250",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772893",
            "telephone_number": "301-869-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INJURY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "OROSCO MARINO",
        "authorized_official_first_name": "JHERSON",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-869-9001"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.