Individual provider Active NPI

Odilia Bongse Jator, NP

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1922962885
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R196552 Issued in MD
Practice address
1220B E Joppa Rd Ste 324
Towson, MD 21286-5823
Phone
(410) 494-1888
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R196552 MD Primary

Addresses

Primary practice location

1220B E Joppa Rd Ste 324
Towson, MD 21286-5823

Mailing address

1220B E Joppa Rd Ste 324
Towson, MD 21286-5823
Phone (410) 494-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311003283 MD Practitioner - Nurse Practitioner 1557844115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1220 B E Joppa Rd
Suite 324
Baltimore, MD 21286-5823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R196552MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Baltimore LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1220B E Joppa Rd
Ste 324
Towson, MD 21286
Phone (410) 494-1888

1220B E Joppa Rd
Ste 310
Towson, MD 21286
Phone (410) 494-1888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1922962885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD STE 324",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865823",
            "telephone_number": "410-494-1888",
            "fax_number": "410-494-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD STE 324",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865823",
            "telephone_number": "410-494-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATOR",
        "first_name": "ODILIA",
        "middle_name": "BONGSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.