NPI |
1285237990 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
Provider Organization Name Legal Business Name |
NEW DISCOVERY BIOLOGICS, LLC |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
Provider First Line Business Practice Location Address |
701 E PRATT ST # 5005 |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Provider Business Practice Location Address City Name |
BALTIMORE |
|
Provider Business Practice Location Address State Name |
MD |
|
Provider Business Practice Location Address Postal Code |
212023183 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Provider Business Practice Location Address Telephone Number |
4108180154 |
The city name in the location address of the provider being identified. |
Provider Enumeration Date |
11/17/2020 |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
Last Update Date |
11/17/2020 |
Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form. |
Authorized Official Last Name |
SHARMA |
|
Authorized Official First Name |
RAJNI |
The telephone number associated with the location address of the provider being identified. |
Authorized Official Title or Position |
OWNER/GENERAL SUPERVISOR |
The date the provider was assigned a unique identifier (assigned an NPI). |
Authorized Official Telephone Number |
4108180154 |
The date that a record was last updated or changed. |
Healthcare Provider Taxonomy Code 1 |
291U00000X |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
The first name of the authorized official. |
Is Organization Subpart |
N |
|
Authorized Official Name Prefix Text |
DR. |
|
NPI Certification Date |
11/17/2020 |
|