JACK R LICHTENSTEIN, MD LLC
NPI 1043288087
Internal Medicine - Rheumatology in Annapolis, MD

Active since March 08, 2006
205 RIDGELY AVE, ANNAPOLIS, MD 21401(410) 263-6910(443) 433-0456 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack R Lichtenstein, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK R LICHTENSTEIN, MD LLC (NPI 1043288087) is a healthcare organization registered as a rheumatology in Annapolis, Maryland and active in the NPI registry since March 2006. The organization lists Jack R. Lichtenstein, Owner, as its authorized official.

NPPES Registry Identity

NPI1043288087
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameJACK R LICHTENSTEIN, MD LLC
Location Address205 RIDGELY AVEAnnapolis, MD 21401
Mailing Address205 Ridgely AveAnnapolis, MD 21401 · (410) 263-6910 · Fax (443) 433-0456
Fax(443) 433-0456
Organization SubpartYes
Authorized OfficialJack R. LichtensteinOwner · (410) 268-6910
Enumeration DateMarch 8, 2006
Last NPPES UpdateAugust 1, 2008
NPI 1043288087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in MD · D0008194 Licensed in MD · D08194 Licensed in MD · D0065841
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License D08194 (MD)
205 RIDGELY AVE, Annapolis, MD 21401

Other Identifiers 5

Other3304001MD · Carefirst
OtherJ1740003DC · Carefirst
Medicare PIN796MMD
Medicare UPIND76263
Medicaid785361100MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Physical Therapy Assistant
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Occupational Therapist (Pediatrics)
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Internal Medicine
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Occupational Therapist (Pediatrics)
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Dermatology
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Nurse Practitioner
205 RIDGELY AVE
ANNAPOLIS, MD 21401
Physical Therapist
205 RIDGELY AVE
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack R Lichtenstein, MD LLC's NPI number?

The NPI number for Jack R Lichtenstein, MD LLC is 1043288087. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Jack R Lichtenstein, MD LLC located?

Jack R Lichtenstein, MD LLC is located at 205 Ridgely Ave, Annapolis, MD 21401. The listed phone number is (410) 263-6910.

What is Jack R Lichtenstein, MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Jack R Lichtenstein, MD LLC was last updated on August 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.