1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
  7. NPI Record 1083173868

JOHN JACOB NEWLAND MD
Complete NPI Record 1083173868
Student in an Organized Health Care Education/Training Program in Baltimore, MD

NPI Status: Active since March 19, 2019

Contact Information

22 S GREENE ST # S8B12
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-6713

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider Other Last Name
  8. Provider Other First Name
  9. Provider Other Middle Name
  10. Provider Other Last Name Type Code
  11. Provider First Line Business Mailing Address
  12. Provider Business Mailing Address City Name
  13. Provider Business Mailing Address State Name
  14. Provider Business Mailing Address Postal Code
  15. Provider Business Mailing Address Country Code If outside U S
  16. Provider First Line Business Practice Location Address
  17. Provider Business Practice Location Address City Name
  18. Provider Business Practice Location Address State Name
  19. Provider Business Practice Location Address Postal Code
  20. Provider Business Practice Location Address Country Code If outside U S
  21. Provider Business Practice Location Address Telephone Number
  22. Provider Enumeration Date
  23. Last Update Date
  24. Provider Gender Code
  25. Healthcare Provider Taxonomy Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1083173868. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1083173868
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Entity Type Code: 1
The name of the organization provider. If the provider is an organization, this is the legal business name.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider First Name: JOHN
The city name in the mailing address of the provider being identified.
Provider Middle Name: JACOB
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Credential Text: MD
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Other Last Name: NEWLAND
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Other First Name: JOHN JACOB
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Other Middle Name: SCHWARTZ
The city name in the location address of the provider being identified.
Provider Other Last Name Type Code: 5
The State code in the location of the provider being identified.
Provider First Line Business Mailing Address: 22 S GREENE ST # S8B12
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: BALTIMORE
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: MD
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 212011544
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider First Line Business Practice Location Address: 22 S GREENE ST # S8B12
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Practice Location Address City Name: BALTIMORE
The first name of the authorized official.
Provider Business Practice Location Address State Name: MD
The middle name of the authorized official.
Provider Business Practice Location Address Postal Code: 212011590
The title or position of the authorized official.
Provider Business Practice Location Address Country Code If outside U S : US
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address Telephone Number: 4103286713
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Enumeration Date: 3/19/2019
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/19/2019
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 390200000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No