OrganizationActive
Rejuvaris
NPI 1417833856 · Primary Care Clinic/Center · Randallstown, MD
Rejuvaris is a Primary Care Clinic/Center organization in Randallstown, MD (NPI 1417833856).
Provider details
- NPI number
- 1417833856
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abisola Alade, Nurse Practitioner(410) 929-4790
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9635 Liberty Rd
Randallstown, MD 21133-2436
Phone: (410) 929-4790
Street-level locationGet directions
Mailing address
9635 Liberty Rd
Randallstown, MD 21133-2436
Other names (DBA / former)
- Doing business as
- Rejuvaris
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Rejuvaris's NPI number?
- Rejuvaris's National Provider Identifier (NPI) is 1417833856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rejuvaris?
- Rejuvaris is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Rejuvaris located?
- Rejuvaris's practice location on file with NPPES is 9635 Liberty Rd, Randallstown, MD 21133-2436.
- What is Rejuvaris's phone number?
- The practice phone number listed in the NPPES registry for Rejuvaris is (410) 929-4790.
- Who is the authorized official for Rejuvaris?
- The authorized official listed on Rejuvaris's NPPES record is Abisola Alade, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rejuvaris's NPI active?
- Yes — Rejuvaris's NPI (1417833856) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.