Rejuvaris
Rejuvaris is a healthcare organization registered as Primary Care Clinic/Center in Randallstown, MD, holding Type 2 (organization) NPI 1417833856 since 2025. The authorized official on file is Abisola Alade, Nurse Practitioner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417833856 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Rejuvaris |
| Practice address | 9635 LIBERTY RD, Randallstown, MD, 21133 |
| Phone | 4109294790 |
| Enumeration date | 2025-08-12 |
| Last updated in NPPES | 2025-08-12 |
Authorized official
| Name | Abisola Alade |
|---|---|
| Title | Nurse Practitioner |
| Phone | 4109294790 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Rejuvaris NPI: 1417833856 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 9635 LIBERTY RD, Randallstown, MD, 21133
Verify this record
Cross-check NPI 1417833856 against the authoritative CMS record: view Rejuvaris 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
What is a Type 2 NPI?
What type of organization is Rejuvaris?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-12.