Organization Active NPI

Baldwin Park Family Practice, P.a.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1982613154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9299 Issued in FL
Legal business name
BALDWIN PARK FAMILY PRACTICE, P.A.
Practice address
1040 Woodcock Rd
Ste. 200
Orlando, FL 32803-3525
Phone
(407) 898-4550
Fax
(407) 898-4842
NPI assigned
Aug 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Priya Maharaj, D.O.NPI 1891723672
Title
Physician/President
Phone
(407) 898-4550

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 OS9299 FL Primary

Addresses

Primary practice location

1040 Woodcock Rd
Ste. 200
Orlando, FL 32803-3525

Mailing address

1040 Woodcock Rd
Ste. 200
Orlando, FL 32803-3525
Phone (407) 898-4550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061107000300 FL Part B Supplier - Clinic/Group Practice 6507863461 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1093950Baldwin Park Family Practice PA1040 Woodcock Rd Ste 200, Orlando, FL 32803Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

1040 Woodcock Rd
Ste 200
Orlando, FL 32803
Phone (407) 898-4550

Practitioners & affiliated clinicians

Practitioners 2

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": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982613154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WOODCOCK RD",
            "address_2": "STE. 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033525",
            "telephone_number": "407-898-4550",
            "fax_number": "407-898-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WOODCOCK RD",
            "address_2": "STE. 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033525",
            "telephone_number": "407-898-4550",
            "fax_number": "407-898-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PARK FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHARAJ",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "407-898-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.