Organization Active NPI

Jeremy J. Janssen, M.D., P.C.

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1891826392
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0057305 Issued in MD
Legal business name
JEREMY J. JANSSEN, M.D., P.C.
Practice address
7 Granite PL Ste 14
Gaithersburg, MD 20878-6607
Phone
(240) 631-1170
Fax
(240) 631-1031
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Dr. Jeremy James Janssen, M.D.NPI 1255414371
Title
President
Phone
(240) 631-1170

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0057305 MD Primary

Addresses

Primary practice location

7 Granite PL Ste 14
Gaithersburg, MD 20878-6607

Mailing address

7 Granite PL Ste 14
Gaithersburg, MD 20878-6607
Phone (240) 631-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080821000044 DC Part B Supplier - Clinic/Group Practice 1759456031 Receives reassigned benefits from 3 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1891826392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRANITE PL STE 14",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786607",
            "telephone_number": "240-631-1170",
            "fax_number": "240-631-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRANITE PL STE 14",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786607",
            "telephone_number": "240-631-1170",
            "fax_number": "240-631-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY J. JANSSEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-631-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057305",
            "primary": true
        }
    ],
    "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 Jun 26, 2026; 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.