Willoughby Beach Pediatrics P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WILLOUGHBY BEACH PEDIATRICS P.A.

Practice address

7001 Johnnycake Rd
Suite 101
Windsor Mill, MD 21244-2406

Phone

(410) 719-0063

Fax

(410) 719-6338

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Najla Ametha Abdur-Rahman, M.D.

Title

President

Phone

(410) 719-0063

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992794051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD",
            "address_2": "SUITE 101",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442406",
            "telephone_number": "410-719-0063",
            "fax_number": "410-719-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD",
            "address_2": "SUITE 101",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442406",
            "telephone_number": "410-719-0063",
            "fax_number": "410-719-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOUGHBY BEACH PEDIATRICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDUR-RAHMAN",
        "authorized_official_first_name": "NAJLA",
        "authorized_official_middle_name": "AMETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-719-0063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadyn Belinda Wilcox
• Danyell Williams
• Jelani Williams
• Nataki Williams
• Linnea Willis, LCPC
• Windsor Foot and Ankle Center PA, Inc.
• Windsor Mill Surgery Center, LLC
• Wise Choice Home Care LLC
• Latoya Womack
• Keyona Shalicia Wright, LMSW

• Pediatrics Physician in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Pediatrics Physician in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.