Active NPI
Jafar Nazemian
- Family Medicine Physician
- Oxon Hill, MD
National Provider Identifier
1003987629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0009162
- Practice address
- 6196 Oxon Hill Rd
Suite 250
Oxon Hill, MD 20745 - Phone
- (301) 567-8880
- Fax
- (301) 839-7026
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0009162 | MD | Primary |
| Family Medicine Physician | 207Q00000X | MD25644 | DC |
Addresses
Primary practice location
6196 Oxon Hill Rd
Suite 250
Oxon Hill, MD 20745
Mailing address
6196 Oxon Hill Rd
Suite 250
Oxon Hill, MD 20745
Phone (301) 567-8880
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85352 | Other | MDIPA OPTIMUM | |
| 100232 | Other | AETNA | |
| 0720 | Other | DC | BC |
| 6370 | Other | MD | BC OF MD |
| 0001 | Other | DC | BC |
| 04885 | Other | AMERIGROUP | |
| 365639 | Other | UNITED HEALTHCARE HMO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25644 | DC | MD | Family Medicine Physician |
| D0009162 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003987629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD",
"address_2": "SUITE 250",
"city": "OXON HILL",
"state": "MD",
"postal_code": "20745",
"telephone_number": "301-567-8880",
"fax_number": "301-839-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD",
"address_2": "SUITE 250",
"city": "OXON HILL",
"state": "MD",
"postal_code": "20745",
"telephone_number": "301-567-8880",
"fax_number": "301-839-7026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZEMIAN",
"first_name": "JAFAR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0009162",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD25644",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA OPTIMUM",
"identifier": "85352",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "100232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "0720",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF MD",
"identifier": "6370",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "04885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE HMO",
"identifier": "365639",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.