Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerome Alchimowicz Jr.

Individual provider Acute Care Nurse Practitioner · NPI 1104609254

Jerome Alchimowicz Jr. is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2023, 3 years ago. Practices with Shock Trauma Associates PA, a 262-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2023
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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-5382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R223137 (MD)

Record details

NPI number1104609254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address2709 Bauernschmidt Dr, Baltimore, MD 21221-1719

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Shock Trauma Associates Pa — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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