Active NPI
Cynthia Corrine Amitin, M.D.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1871693440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0058754
- Practice address
- 733 W 40TH St Ste LL10
Baltimore, MD 21211 - Phone
- (410) 243-8632
- Fax
- (410) 243-0470
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0058754 | MD | Primary |
Addresses
Primary practice location
733 W 40TH St Ste LL10
Baltimore, MD 21211
Mailing address
733 W 40TH St Ste LL10
Baltimore, MD 21211-2112
Other practice location 1
2411 W Belvedere Ave Ste 508
Baltimore, MD 21215-5232
Phone (410) 601-8383
Other practice location 2
2 Hamill Rd
Suite 405
Baltimore, MD 21210-1806
Phone (410) 323-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058754 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Time Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
| Cross Keys Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Locations
733 W 40th St
Ste LL10
Baltimore, MD 21211
Phone (410) 243-8632
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1770291692
-
- Pediatrics Physician
- Owings Mills, MD
- NPI 1144347006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1871693440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 W 40TH ST STE LL10",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 W 40TH ST STE LL10",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211",
"telephone_number": "410-243-8632",
"fax_number": "410-243-0470"
}
],
"practiceLocations": [
{
"address_1": "2411 W Belvedere Ave Ste 508",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212155232",
"country_code": "US",
"telephone_number": "410-601-8383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Hamill Rd",
"address_2": "Suite 405",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212101806",
"country_code": "US",
"telephone_number": "410-323-1144",
"fax_number": "410-323-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMITIN",
"first_name": "CYNTHIA",
"middle_name": "CORRINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0058754",
"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 Nov 4, 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.