NPIMap

Organization Active NPI

Maryland Pain and Wellness Center

  • Clinical Medical Laboratory
  • Crofton, MD
National Provider Identifier
1942777651
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MARYLAND PAIN AND WELLNESS CENTER
Practice address
2200 Defense Hwy
Stu 203
Crofton, MD 21114
Phone
(973) 392-7703
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Henry AchampongNPI 1073740726
Title
Medical Director
Phone
(973) 392-7703

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2200 Defense Hwy
Stu 203
Crofton, MD 21114

Mailing address

2200 Defense Hwy
Stu 203
Crofton, MD 21114
Phone (973) 392-7703

National Provider Directory

National Provider Directory
Tax ID family
Maryland Pain and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2200 Defense Hwy
Ste 203
Crofton, MD 21114
Phone (301) 926-8400

Practitioners & affiliated clinicians

Practitioners 1

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": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1942777651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "STU 203",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "973-392-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "STU 203",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "973-392-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PAIN AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "ACHAMPONG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-392-7703"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.