NPIMap

Organization Active NPI

Jay Seidel DPM PA Inc

  • Podiatric Clinic/Center
  • Baltimore, MD
National Provider Identifier
1922477819
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
01551 Issued in MD
Legal business name
JAY SEIDEL DPM PA INC
Practice address
1050 North Point Rd
Suite 200
Baltimore, MD 21224-3329
Phone
(410) 282-2234
Fax
(410) 288-3843
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Jay Seidel, DPMNPI 1699063511
Title
Owner
Phone
(410) 905-5496

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 01551 MD Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1050 North Point Rd
Suite 200
Baltimore, MD 21224-3329

Mailing address

1050 North Point Rd
Suite 200
Baltimore, MD 21224-3329
Phone (410) 282-2234

Other names 1

  • hamilton foot care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140916001206 MD Part B Supplier - Clinic/Group Practice 2567680184 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Bel Air, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7800 W Oakland Park Blvd
#C108
Sunrise, FL 33351
Phone (954) 426-4544

7800 W Oakland Park Blvd
Ste 1
Sunrise, FL 33351

5508 Harford Rd
#A
Baltimore, MD 21214

2208 Old Emmorton Rd
Bel Air, MD 21015
Phone (410) 515-1603

Practitioners & affiliated clinicians

Practitioners 5

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": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1922477819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NORTH POINT RD",
            "address_2": "SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243329",
            "telephone_number": "410-282-2234",
            "fax_number": "410-288-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTH POINT RD",
            "address_2": "SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243329",
            "telephone_number": "410-282-2234",
            "fax_number": "410-288-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY SEIDEL DPM PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-905-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "01551",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hamilton foot care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2015; 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.