US MEDGROUP OF NEW JERSEY PA (NPI# 1194155127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194155127 |
| Entity Type | Organization |
| Organization Name | US MEDGROUP OF NEW JERSEY PA |
| Other Organization Name | CONCENTRA ADVANCED SPECIALIST |
| Practice Address |
811 Cromwell Park Dr Ste. 104 -105 Glen Burnie MD 21061-2566 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 4105530110 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Advanced Specialist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386074318 | Us Medgroup of New Jersey Pa | Clinic/Center | 1419 Knecht Ave, Baltimore, MD 21227-1415 | 2013-11-12 |
| 1659701688 | Us Medgroup of New Jersey Pa | Clinic/Center | 7377 Washington Blvd, Suite 101, Elkridge, MD 21075-6360 | 2013-11-12 |
| Street Address |
811 CROMWELL PARK DR STE. 104 -105 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801913918 | Kevin S. Winstead | Physician Assistant | 811 Cromwell Park Dr, Suite 104-105, Glen Burnie, MD 21061-2566 | 2007-03-23 |
| 1386962652 | Pratiksha Vishal Patel Vaghela | Preventive Medicine | 811 Cromwell Park Dr, Suite 104, Glen Burnie, MD 21061 | 2010-05-12 |
| 1639373145 | Jennifer Dionne Taylor | Occupational Therapist | 811 Cromwell Park Dr, Glen Burnie, MD 21061-2566 | 2007-06-11 |
| 1487771531 | Christine Key | Physical Therapist | 811 Cromwell Park Dr, Suite 104 & 105, Glen Burnie, MD 21061-2566 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951372 | Holistic Touch Healthcare LLC | Clinic/Center | 1412 Crain Hwy N Ste 3a, Glen Burnie, MD 21061-7000 | 2020-04-18 |
| 1427609429 | Active Spine & Rehab, LLC | Clinic/Center | 802 Cromwell Park Dr, Glen Burnie, MD 21061-2563 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974543 | Dgd Healthcare Solutions,llc | Clinic/Center | 1210 Northern Lights Dr, Upper Marlboro, MD 20774-6049 | 2020-08-28 |
| 1376160382 | Trinity Family and Behavioral Health Services LLC | Clinic/Center | 15612 Norus St, Upper Marlboro, MD 20772-8253 | 2020-06-25 |
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1629615901 | Regen Medical LLC | Clinic/Center | 3916 Hickory Ave, Baltimore, MD 21211-1834 | 2019-12-05 |
| 1144888025 | Ethos Health Maryland 1, LLC | Clinic/Center | 4940 Campbell Blvd Ste 130, Nottingham, MD 21236-5910 | 2019-06-05 |
| 1740847201 | Swiftcare Family Clinic and Wellness Inc | Clinic/Center | 1841/1843 Brightseat Road, Landover, MD 20785-2078 | 2019-05-21 |
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| 1356881387 | Premise Health of Maryland Medical P C | Clinic/Center | 8403 Colesville Rd Fl 15, Silver Spring, MD 20910-6331 | 2017-02-23 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on US MEDGROUP OF NEW JERSEY PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.