Jack R Lichtenstein, MD LLC
Jack R Lichtenstein, MD LLC is a healthcare organization registered as Rheumatology Physician in Annapolis, MD, holding Type 2 (organization) NPI 1043288087 since 2006. The authorized official on file is Jack Lichtenstein, Owner.
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| NPI | 1043288087 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack R Lichtenstein, MD LLC |
| Parent organization | Jack R Lichtenstein, MD LLC |
| Practice address | 205 RIDGELY AVE, Annapolis, MD, 21401 |
| Phone | 4102636910 |
| Fax | 4434330456 |
| Enumeration date | 2006-03-08 |
| Last updated in NPPES | 2008-08-01 |
Authorized official
| Name | Jack Lichtenstein |
|---|---|
| Title | Owner |
| Phone | 4102686910 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | D08194 | MD |
| 207RR0500X | Rheumatology Physician | Secondary | D08194 | MD |
| 207RR0500X | Rheumatology Physician | Secondary | D0065841 | MD |
| 207RR0500X | Rheumatology Physician | Primary | D0008194 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3304001 | Other | MD | CAREFIRST |
| J1740003 | Other | DC | CAREFIRST |
| 785361100 | Medicaid | MD | — |
Copy-ready billing details
Provider: Jack R Lichtenstein, MD LLC NPI: 1043288087 Taxonomy: 207RR0500X (Rheumatology Physician) Address: 205 RIDGELY AVE, Annapolis, MD, 21401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932170628 | Gale Cromwell | Individual | Nurse Practitioner | Annapolis, MD |
| 1609844224 | Jack Lichtenstein | Individual | Internal Medicine Physician | Annapolis, MD |
| 1952402729 | Emily Weinfeld | Individual | Physical Therapist | Annapolis, MD |
| 1013158153 | Hsu Huei Thigpen | Individual | Physical Therapist | Annapolis, MD |
| 1801139605 | Jrl and Associates | Organization | Dermatology Physician | Annapolis, MD |
| 1336646728 | Kristin Bennett | Individual | Physical Therapy Assistant | Annapolis, MD |
| 1760359780 | Cindy Gonzalez | Individual | Pediatric Occupational Therapist | Annapolis, MD |
| 1477403905 | Rachel Alzamora | Individual | Pediatric Occupational Therapist | Annapolis, MD |
Verify this record
Cross-check NPI 1043288087 against the authoritative CMS record: view Jack R Lichtenstein, MD LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jack R Lichtenstein, MD LLC?
What is the NPI number for Jack R Lichtenstein, MD LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-01.