1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile

JAI MEDICAL CENTER
NPI 1306293063
Nurse Practitioner - Family in Baltimore, MD

Active since May 23, 2016CLIA Certified · 2 labs
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215(410) 542-8130 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jai Medical Center NPPES

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

JAI MEDICAL CENTER (NPI 1306293063) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Jai Seunarine, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306293063
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJAI MEDICAL CENTER
Location Address4340 PARK HEIGHTS AVEBaltimore, MD 21215-6725
Mailing Address4340 Park Heights AveBaltimore, MD 21215-6725 · (410) 542-8130
Phone(410) 542-8130
Organization SubpartNo
Authorized OfficialJai SeunarineAdministrator · (410) 433-2200
Enumeration DateMay 23, 2016
✔ NPI 1306293063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R155112
4340 PARK HEIGHTS AVE, Baltimore, MD 21215
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2198050

Park Heights Medical Clinic Dba Jai Medical Center · Baltimore, MD
Active · expires Oct 28, 2026
CLIA Number21D2198050
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorTeri Richardson
Laboratory Phone(410) 542-8130
Laboratory LocationPark Heights Medical Clinic Dba Jai Medical Center4340 Park Heights Ave, Baltimore, MD 21215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2198906

Hollis Seunarine Mdpa LLC Dba Jai Medical Center · Hunt Valley, MD
Active · expires Nov 3, 2026
CLIA Number21D2198906
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorDr. Peter C. Gregg
Laboratory Phone(410) 433-2200
Laboratory LocationHollis Seunarine Mdpa LLC Dba Jai Medical Center301 International Circle #100, Hunt Valley, MD 21030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

KATHYANN GIBBS CRNP-FAMILY
Nurse Practitioner (Family)
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
MS. SAMANTHA ROBERTA KITE CRNP
Nurse Practitioner (Family)
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
TERI RICHARDSON
Internal Medicine
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
TIFFANY H ANDERSON PA-C
Physician Assistant
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
MALAKHA BILITY
Pediatrics
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
DR. MARIA MOYER M.D.
Internal Medicine
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
FRANCES BIRD M.D
Pediatrics
4340 PARK HEIGHTS AVE, JAI MEDICAL CENTER
BALTIMORE, MD 21215
Baltimore City (410) 542-8130
STACY REEVES HOENES NP-C
Nurse Practitioner (Primary Care)
4340 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-8130

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 Jai Medical Center's NPI number?

The NPI number for Jai Medical Center is 1306293063. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Jai Medical Center located?

Jai Medical Center is located at 4340 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (410) 542-8130.

What is Jai Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Jai Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jai Medical Center was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.