Active NPI
Muslim Community Center
- Clinic/Center
- Silver Spring, MD
National Provider Identifier
1023747433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MUSLIM COMMUNITY CENTER
- Practice address
- 15200 New Hamphire Avenue
Silver Spring, MD 20905-5631 - Phone
- (703) 789-3216
- Fax
- (571) 349-0204
- NPI assigned
- Jun 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Yauman, CPB
- Title
- Authorized Billing Manager
- Phone
- (703) 789-3216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
15200 New Hamphire Avenue
Silver Spring, MD 20905-5631
Mailing address
15200 New Hamphire Avenue
Silver Spring, MD 20905-5631
Phone (703) 789-3216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ITIN | Medicaid | MD |
Other names 1
- MCC Medical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.mccclinic.org | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
15200 New Hampshire Ave
Silver Spring, MD 20905
Phone (301) 384-2166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1023747433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 NEW HAMPHIRE AVENUE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055631",
"telephone_number": "703-789-3216",
"fax_number": "571-349-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 NEW HAMPHIRE AVENUE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055631",
"telephone_number": "703-789-3216",
"fax_number": "571-349-0204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSLIM COMMUNITY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "YAUMAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "AUTHORIZED BILLING MANAGER",
"authorized_official_telephone_number": "703-789-3216",
"authorized_official_credential": "CPB"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ITIN",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.mccclinic.org",
"affiliation": "N",
"endpointDescription": "For Patient to contact physician and make appointment",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email or Telephone",
"address_1": "15200 New Hamphire Avenue",
"city": "Silver Spring",
"state": "MD",
"country_code": "US",
"postal_code": "209055631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MCC Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.