NPIMap

Organization Active NPI

Parkway Medical Association LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1831846070
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PARKWAY MEDICAL ASSOCIATION LLC
Practice address
1916 Crain Hwy S Ste 10
Glen Burnie, MD 21061-5565
Phone
(410) 760-0098
Fax
(410) 761-9131
NPI assigned
Mar 8, 2022
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Adetola Adekemi Adetunji, PMHNPNPI 1700436326
Title
Vice President
Phone
(240) 401-5269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1916 Crain Hwy S Ste 10
Glen Burnie, MD 21061-5565

Mailing address

1916 Crain Hwy S Ste 10
Glen Burnie, MD 21061-5565
Phone (410) 760-0098

National Provider Directory

National Provider Directory

Locations

1916 Crain Hwy S
Ste 10
Glen Burnie, MD 21061

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1831846070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 CRAIN HWY S STE 10",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615565",
            "telephone_number": "410-760-0098",
            "fax_number": "410-761-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 CRAIN HWY S STE 10",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615565",
            "telephone_number": "410-760-0098",
            "fax_number": "410-761-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "ADETUNJI",
        "authorized_official_first_name": "ADETOLA",
        "authorized_official_middle_name": "ADEKEMI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "240-401-5269",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.