CKNMG
NPI 1902763162
Family Medicine in Baltimore, MD

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since January 08, 2026

1501 S CLINTON ST, BALTIMORE, MD 21224(866) 233-6925 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2026, Jan 8, 2026 (2 updates tracked since 2026).

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About Cknmg NPPES

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

CKNMG (NPI 1902763162), doing business as Closeknit - Pcp2, is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since January 2026. The organization lists Mary Jane Favazza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902763162

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCKNMG

Location Address1501 S CLINTON STBaltimore, MD 21224-5730

Mailing Address1501 S Clinton StBaltimore, MD 21224-5730 · (866) 233-6925

Phone(866) 233-6925

Organization SubpartNo

Authorized OfficialMary Jane FavazzaCeo · (410) 205-1487

Enumeration DateJanuary 8, 2026

Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1902763162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

1501 S CLINTON ST, Baltimore, MD 21224

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Other Names 1

Doing Business AsCloseknit - Pcp2

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP