Individual provider Active NPI

Njenwieh Onya Clovis

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1003595315
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4530 Wisconsin Ave NW
Washington, DC 20016-4627
Phone
(202) 450-1429
Fax
(703) 483-9928
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X PA
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X
Case Manager/Care Coordinator 171M00000X DC Primary

Addresses

Primary practice location

4530 Wisconsin Ave NW
Washington, DC 20016-4627

Mailing address

5209 Morris Ave Apt 102
Suitland, MD 20746-3913
Phone (301) 272-5818

Other practice location 1

11720 Beltsville Dr # 500A15
Beltsville, MD 20705-3166
Phone (202) 790-8903

Other practice location 2

3831 Pennsylvania Ave SE
Washington, DC 20020-1309
Phone (202) 853-4879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1003595315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 MORRIS AVE APT 102",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207463913",
            "telephone_number": "301-272-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164627",
            "telephone_number": "202-450-1429",
            "fax_number": "703-483-9928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11720 Beltsville Dr # 500A15",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207053166",
            "country_code": "US",
            "telephone_number": "202-790-8903",
            "fax_number": "301-889-9735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3831 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200201309",
            "country_code": "US",
            "telephone_number": "202-853-4879",
            "fax_number": "202-575-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYA CLOVIS",
        "first_name": "NJENWIEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.