BAYSIDE FAMILY PRACTICE,L.L.C.
NPI 1700068160
Family Medicine in Easton, MD

Q: What is Bayside Family Practice,l.L.C.'s NPI number?

The NPI number for Bayside Family Practice,l.L.C. is 1700068160. It was assigned to this organization in the NPPES registry on November 28, 2007.

Q: What is Bayside Family Practice,l.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 28, 2007CLIA 21D0971651 · Microscopy

538 CYNWOOD DR STE 2, EASTON, MD 21601(410) 690-8855(833) 606-0499 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Bayside Family Practice,l.l.c. NPPES

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

BAYSIDE FAMILY PRACTICE,L.L.C. (NPI 1700068160) is a healthcare organization registered as a family medicine in Easton, Maryland and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through March 16, 2028 and lists Jennifer Anne Hollywood, Physician, as its authorized official.

NPPES Registry Identity

NPI1700068160

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBAYSIDE FAMILY PRACTICE,L.L.C.

Location Address538 CYNWOOD DR STE 2Easton, MD 21601-3887

Mailing Address538 Cynwood Dr Ste 2Easton, MD 21601-3887 · (410) 690-8855 · Fax (833) 606-0499

Phone(410) 690-8855

Fax(833) 606-0499

Organization SubpartNo

Authorized OfficialJennifer Anne HollywoodPhysician · (410) 690-8855

Enumeration DateNovember 28, 2007

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1700068160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D0046820

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

538 CYNWOOD DR STE 2, Easton, MD 21601

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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bayside Family Practice,l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bayside Family Practice,l.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Hollywood, MD

Family Practice

NPI 1003868324

538 CYNWOOD DRIVE STE 2
Easton, MD 21601

(410) 763-8999

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 21D0971651

Bayside Family Practice LLC · Easton, MD

Active · expires Mar 16, 2028

CLIA Number21D0971651

Laboratory TypePhysician Office

Certificate Effective DateMarch 17, 2026

Certificate Expiration DateMarch 16, 2028

Laboratory DirectorJennifer A. Hollywood MD

Laboratory Phone(410) 763-8999

Laboratory LocationBayside Family Practice LLC538 Cynwood Drive Ste 2, Easton, MD 21601

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Bayside Family Practice,l.L.C.'s NPI number?

The NPI number for Bayside Family Practice,l.L.C. is 1700068160. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Bayside Family Practice,l.L.C. located?

Bayside Family Practice,l.L.C. is located at 538 Cynwood Dr Ste 2, Easton, MD 21601. The listed phone number is (410) 690-8855.

What is Bayside Family Practice,l.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bayside Family Practice,l.L.C. enrolled in Medicare?

Yes. Bayside Family Practice,l.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bayside Family Practice,l.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bayside Family Practice,l.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bayside Family Practice,l.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0971651) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayside Family Practice,l.L.C. was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.