Active NPI
Burnley Bikola Ngembus
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1013627280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-4300
- Fax
- (202) 388-4339
- NPI assigned
- Nov 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
2968 Chinkapin Oak LN
Woodbridge, VA 22191-7514
Phone (703) 649-1873
Other practice location 1
1615 Rhode Island Ave NE
Washington, DC 20018-1802
Phone (202) 301-5200
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": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1013627280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 CHINKAPIN OAK LN",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221917514",
"telephone_number": "703-649-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 HUNT PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193565",
"telephone_number": "202-388-4300",
"fax_number": "202-388-4339"
}
],
"practiceLocations": [
{
"address_1": "1615 Rhode Island Ave NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200181802",
"country_code": "US",
"telephone_number": "202-301-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGEMBUS",
"first_name": "BURNLEY",
"middle_name": "BIKOLA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"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 Aug 29, 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.