1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Family Medicine
  6. NPI Profile

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: August 16, 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
Open in Google Maps ↗

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. TIMOTHY ANTHONY BUCKLEY MD
Family Medicine
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
MRS. JESSICA LAKE BUHR CRNP
Nurse Practitioner (Gerontology)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
ALLISON PIEDMONTE RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (610) 509-0962
JESSICA HURLEY
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 521-2455
MS. THERESE CHRISTINE DAVIS CCM RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 724-2628
KELLY KENNEDY
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 370-7233
KAREN LEE KEHRING
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 605-2648
MRS. CHRISTINA E CUSTIS
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 763-6386

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. The provider is doing business as Closeknit - Pcp2.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.