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LANEISHA M MALDONADO JAIME MD
NPI 1790263903
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since July 31, 2018PECOS Enrolled
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0526 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 18, 2020, Jul 31, 2018 (2 updates tracked since 2018).

About Laneisha M Maldonado Jaime Md NPPES

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

LANEISHA M MALDONADO JAIME MD (NPI 1790263903) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ponce.

NPPES Registry Identity

NPI1790263903
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLANEISHA M MALDONADO JAIMECredential: MD
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address4940 Eastern AveBaltimore, MD 21224-2735
Phone(410) 550-0526
Sole ProprietorNo
Enumeration DateJuly 31, 2018
Last NPPES UpdateApril 18, 20202 updates tracked since enumeration
NPPES CertifiedApril 18, 2020
✔ NPI 1790263903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4940 EASTERN AVE, Baltimore, MD 21224
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Secondary Practice Location 1

Location 1PHSU 388 Zona Industrial Reparada 2Ponce, PR 00716 · Phone (787) 840-2575

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laneisha M Maldonado Jaime Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Laneisha Maldonado Jaime's NPI number?

The NPI number for Laneisha Maldonado Jaime is 1790263903. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Laneisha Maldonado Jaime located?

Laneisha Maldonado Jaime practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0526.

What is Laneisha Maldonado Jaime's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Laneisha Maldonado Jaime enrolled in Medicare?

Yes. Laneisha Maldonado Jaime is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laneisha Maldonado Jaime was last updated on April 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.