NPIMap

Organization Active NPI

316TH Medgrp-Malcolm Grow

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Washington, DC
National Provider Identifier
1013988328
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
316TH MEDGRP-MALCOLM GROW
Practice address
238 Brookley Ave
Washington, DC 20032
Phone
(202) 404-3602
Fax
(202) 404-8233
NPI assigned
Jan 27, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
316TH MEDGRP-MALCOLM GROWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Jen Lewandowski
Title
Dha Financial Manager
Phone
(703) 817-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

238 Brookley Ave
Washington, DC 20032

Mailing address

1060 W Perimeter Rd
JB Andrews, MD 20762-6602
Phone (202) 404-3602

National Provider Directory

National Provider Directory
Tax ID family
316TH Medgrp-Malcolm Grow3 organizations share this tax ID, including this one
Part of
316TH Medgrp-Malcolm Grow

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1050 W Perimeter Rd
#14
Jb Andrews, MD 20762

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1013988328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W PERIMETER RD",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "202-404-3602",
            "fax_number": "202-404-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-404-3602",
            "fax_number": "202-404-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "316TH MEDGRP-MALCOLM GROW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "316TH MEDGRP-MALCOLM GROW",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DHA FINANCIAL MANAGER",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "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 Jun 17, 2025; 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.