NPIMap

Organization Active NPI

Adr LLC

  • Specialist
  • Cumberland, MD
National Provider Identifier
1982607933
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADR LLC
Practice address
952 Seton Dr
Cumberland, MD 21502-1950
Phone
(301) 777-3522
Fax
(301) 777-1902
NPI assigned
May 23, 2005
Last updated
Aug 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Jong K Kim, MDNPI 1255334900
Title
President
Phone
(301) 724-1646

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

952 Seton Dr
Cumberland, MD 21502-1950

Mailing address

PO Box 808
Cumberland, MD 21501-0808
Phone (301) 724-1646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040323000632 MD Part B Supplier - Clinic/Group Practice 6608767256 Receives reassigned benefits from 5 practitioners
Practice locations: Cumberland, MD
O20250627002414 VA Part B Supplier - Clinic/Group Practice 6608767256 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory

Locations

952 Seton Dr
Ste 210
Cumberland, MD 21502
Phone (301) 697-7221

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1982607933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215010808",
            "telephone_number": "301-724-1646",
            "fax_number": "301-724-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021950",
            "telephone_number": "301-777-3522",
            "fax_number": "301-777-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-724-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.