Rejuvaris is a Primary Care Clinic/Center (organization) practicing in Randallstown, Maryland. The National Provider Identifier (NPI) is #1417833856, which was assigned on August 12, 2025, and the registration record was last updated on August 12, 2025. The practitioner's main practice location is at 9635 Liberty Rd, Randallstown, MD 21133-2436; the contact telephone number is 4109294790. The primary taxonomy of Rejuvaris is Primary Care Clinic/Center (261QP2300X), with specialization in Primary Care. The authorized official for Rejuvaris is Dr. Abisola Alade (Nurse Practitioner).
| NPI | 1417833856 |
| Entity Type | Organization |
| Organization Name | REJUVARIS |
| Provider Name | REJUVARIS |
| Practice Address |
9635 Liberty Rd Randallstown MD 21133-2436 |
| Practice Telephone | 4109294790 |
| Mailing Address |
9635 Liberty Rd Randallstown MD 21133-2436 |
| Mailing Telephone | 4109294790 |
| Certification Date | 2025-08-12 |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |
| Is Organization Subpart | N |
| Official Name | DR. ABISOLA ALADE |
| Official Title | NURSE PRACTITIONER |
| Credential | DNP,CRNP |
| Telephone | 4109294790 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QP2300X | Clinic/Center | Primary Care |
| Other Organization Name | Type |
|---|---|
| Rejuvaris | Doing Business As Name |
| Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
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|---|---|---|---|
| Lynay Medical, LLC | 1 Still Hopes Dr, West Columbia, SC 29169-7164 | Primary Care Clinic/Center | 2025-09-03 |
| Grace Primary & Urgent Care, LLC | 5445 Laverne Ave, Catonsville, MD 21228-5369 | Primary Care Clinic/Center | 2025-08-29 |
| Liveactive Primary Care Tampa, LLC | 8849 Hawbuck St Ste A, New Port Richey, FL 34655-9805 | Primary Care Clinic/Center | 2025-09-02 |
| Happy Health & Wellness | 338 W 300 N Ste 5, Hyde Park, UT 84318-4044 | Primary Care Clinic/Center | 2025-08-29 |
| North Broadway Medical Family Practice PC | 469 N Broadway, Dr. Noor Ibraheem, Yonkers, NY 10701-1960 | Primary Care Clinic/Center | 2025-09-06 |
| Visionary Wound Rehab PLLC | 411 Lantern Bend Dr Ste 100, Houston, TX 77090-2839 | Primary Care Clinic/Center | 2025-09-04 |
| Patrick Medical Center, LLC | 6882 W Flagler St, Miami, FL 33144-2814 | Primary Care Clinic/Center | 2025-08-27 |
| Jcf Healthcare & Physicals, LLC | 3947 40th St S, Saint Petersburg, FL 33711-4211 | Primary Care Clinic/Center | 2025-09-02 |
| Janell Martin | 87 Church St, East Hartford, CT 06108-3720 | Primary Care Clinic/Center | 2025-09-03 |
| Evolving Wellness Solutions | 9 Highland Shore Dr, Danville, IL 61832-1347 | Primary Care Clinic/Center | 2025-09-01 |
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| Street Address |
9635 LIBERTY RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-2436 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sterile Technique Phlebotomy and Cpr First Aid School LLC | 11100 Liberty Rd Ste K, Randallstown, MD 21133-1054 | Health Educator | 2022-06-23 |
| Kenneth Wright | 3525 Seapines Cir, Randallstown, MD 21133-2447 | Integrative Medicine Physician | 2025-03-20 |
| Phoenix Healthcare Systems | 9405 Liberty Rd Ste E, Randallstown, MD 21133-2712 | Family Nurse Practitioner | 2025-06-12 |
| Evergreen Recovery, LLC | 9637 Liberty Rd Ste G, Randallstown, MD 21133-2452 | Adult Psychiatric/Mental Health Registered Nurse | 2024-12-30 |
| Wellpharma LLC | 9818 Liberty Rd Ste B, Randallstown, MD 21133-2038 | Family Medicine Physician | 2024-01-02 |
| Jennifer Hubbard | 9854 Liberty Rd Ste E, Randallstown, MD 21133-2058 | Registered Nurse | 2020-06-17 |
| Leap of Faith Healthcare Agency, LLC | 3817 Cassandra Rd, Randallstown, MD 21133-3322 | Home Health Agency | 2025-02-13 |
| Louis Onwuanaibe | 6 Marks Manor Ct, Randallstown, MD 21133-1304 | Pharmacist | 2014-04-26 |
| Life Point Healthcare Services LLC | 9407 Tulsemere Rd, Randallstown, MD 21133-2830 | Nursing Care Agency | 2025-01-23 |
| On-Time Medical Group Inc | 9846 Liberty Rd, Randallstown, MD 21133-2007 | Urgent Care Clinic/Center | 2024-09-12 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |