Individual provider Active NPI

Moriliat Olayinka Ajose

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1003640301
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R224574 Issued in MD
Practice address
8737 Colesville Rd Ste 700
Silver Spring, MD 20910-7901
Phone
(240) 296-5858
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R224574 MD Primary

Addresses

Primary practice location

8737 Colesville Rd Ste 700
Silver Spring, MD 20910-7901

Mailing address

3104 Alma LN
Bowie, MD 20716-3844
Phone (240) 412-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250130001791 MD Practitioner - Nurse Practitioner 5799214102 Reassigns benefits to 1 organization
I20250130002271 DC Practitioner - Nurse Practitioner 5799214102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vesta, Inc.Group PAC ID 3678568375, 20 clinicians

Practice addresses (Care Compare)

1202 Annapolis Rd
Suite F
Odenton, MD 21113-1387
Phone (240) 296-1370

20410 Observation Dr
Suite 108
Germantown, MD 20876-6419
Phone (240) 296-5858

46940 S Shangri la Dr
Suite 100
Lexington Park, MD 20653-4007
Phone (301) 863-4543

9301 Annapolis Rd
Suite 300
Lanham, MD 20706-3125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R224574MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vesta, Inc. CurrentSince Jan 16, 2025 Accepting new patients
Vesta Inc CurrentSince Jan 16, 2025 Accepting new patients
Vesta, Inc. CurrentSince Jan 16, 2025 Accepting new patients
Vesta, Inc. Current Accepting new patients

Locations

3900 Forestville Rd
Forestville, MD 20747
Phone (240) 296-5848

20410 Observation Dr
Ste 108
Germantown, MD 20876
Phone (240) 296-5862

9301 Annapolis Rd
Ste 300
Lanham, MD 20706
Phone (240) 296-5848

46940 S Shangri La Dr
Ste 100
Lexington Pk, MD 20653
Phone (301) 863-4543

8737 Colesville Rd
Ste 700
Silver Spring, MD 20910
Phone (240) 296-5860

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1003640301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 ALMA LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163844",
            "telephone_number": "240-412-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 COLESVILLE RD STE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209107901",
            "telephone_number": "240-296-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJOSE",
        "first_name": "MORILIAT",
        "middle_name": "OLAYINKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.