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REJUVARIS
NPI 1417833856
Clinic/Center - Primary Care in Randallstown, MD

Active since August 12, 2025
9635 LIBERTY RD, RANDALLSTOWN, MD 21133(410) 929-4790 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rejuvaris NPPES

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

REJUVARIS (NPI 1417833856) is a healthcare organization registered as a primary care in Randallstown, Maryland and active in the NPI registry since August 2025. The organization lists Abisola Alade, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1417833856
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREJUVARIS
Location Address9635 LIBERTY RDRandallstown, MD 21133-2436
Mailing Address9635 Liberty RdRandallstown, MD 21133-2436 · (410) 929-4790
Phone(410) 929-4790
Organization SubpartNo
Authorized OfficialAbisola AladeNurse Practitioner · (410) 929-4790
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1417833856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9635 LIBERTY RD, Randallstown, MD 21133
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Other Names 1

Doing Business AsRejuvaris

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 Rejuvaris's NPI number?

The NPI number for Rejuvaris is 1417833856. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Rejuvaris located?

Rejuvaris is located at 9635 Liberty Rd, Randallstown, MD 21133. The listed phone number is (410) 929-4790.

What is Rejuvaris's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Rejuvaris was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.