Organization Active NPI

E J a L Health Services Inc

  • Methadone Clinic
  • Glen Burnie, MD
National Provider Identifier
1891825345
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
E J A L HEALTH SERVICES INC
Practice address
7229 Ritchie Hwy
Glen Burnie, MD 21061-3038
Phone
(410) 761-3686
Fax
(410) 761-5291
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Pnina Masha Barber, DC
Title
Executive Clinic Coordinator
Phone
(410) 761-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

7229 Ritchie Hwy
Glen Burnie, MD 21061-3038

Mailing address

7229 Ritchie Hwy
Glen Burnie, MD 21061-3038
Phone (410) 761-3686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Jul 16, 2024

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001002428 MD Part B Supplier - Opioid Treatment Program (Otp) 7113458175 Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

550 Crain Hwy N
Ste 8
Glen Burnie, MD 21061
Phone (410) 761-3686

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1891825345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613038",
            "telephone_number": "410-761-3686",
            "fax_number": "410-761-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613038",
            "telephone_number": "410-761-3686",
            "fax_number": "410-761-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E J A L HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "PNINA",
        "authorized_official_middle_name": "MASHA",
        "authorized_official_title_or_position": "EXECUTIVE CLINIC COORDINATOR",
        "authorized_official_telephone_number": "410-761-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.