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CKNMG
NPI 1902763162
Family Medicine in Baltimore, MD

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).

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

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. ROBERT L CONNORS MD
Internal Medicine
1501 S CLINTON ST, SUITE 200
BALTIMORE, MD 21224
Baltimore City (410) 522-9940
KATHRYN ROSE RICHARDSON OMRON MD
Pediatrics
1501 S CLINTON ST, SUITE 200
BALTIMORE, MD 21224
Baltimore City (410) 522-9940
CFA, LLC
Health Maintenance Organization
1501 S CLINTON ST, 7TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 528-2222
JANE MEEYOUNG LEE SHEN M.D.
Internal Medicine
1501 S CLINTON ST, SUITE 200
BALTIMORE, MD 21224
Baltimore City (410) 522-9940
PATTI EDWARDS
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 215-7962
ASHLEY BORDEN
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 725-2665
MR. WALTER SHAW
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 581-3000
NICKOL D. BARNES LCPC
Counselor (Professional)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 800-2101

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 Cknmg's NPI number?

The NPI number for Cknmg is 1902763162. It was assigned to this organization in the NPPES registry on January 8, 2026.

Where is Cknmg located?

Cknmg is located at 1501 S Clinton St, Baltimore, MD 21224. The listed phone number is (866) 233-6925.

What is Cknmg's specialty?

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

When was this NPI record last updated?

The NPPES record for Cknmg was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.