NPIMap

Organization Active NPI

Park Heights Health Services, Inc.

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1992152854
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PARK HEIGHTS HEALTH SERVICES, INC.
Practice address
5260 Park Heights Avenue
5250 Park Heights Avenue
Baltimore, MD 21215
Phone
(410) 929-0222
NPI assigned
May 20, 2016
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mr. Moshe Markowitz, LCADCNPI 1669957890
Title
Sponsor
Phone
(443) 904-3424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

5260 Park Heights Avenue
5250 Park Heights Avenue
Baltimore, MD 21215

Mailing address

125 Slade Ave
Pikesville, MD 21208-4907
Phone (443) 352-8622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428002017 MD Part B Supplier - Opioid Treatment Program (Otp) 6406286749 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Park Heights Health Services Inc2 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

5250 Park Heights Ave
Baltimore, MD 21215
Phone (410) 929-0222

Practitioners & affiliated clinicians

Practitioners 3

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": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1992152854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SLADE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084907",
            "telephone_number": "443-352-8622",
            "fax_number": "443-450-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 PARK HEIGHTS AVENUE",
            "address_2": "5250 PARK HEIGHTS AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-929-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HEIGHTS HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "MARKOWITZ",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "SPONSOR",
        "authorized_official_telephone_number": "443-904-3424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 23, 2023; 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.