Organization Active NPI

Muslim Community Center

  • Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1023747433
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jun 9, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ITINMedicaidMD

Other names 1

  • MCC Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.mccclinic.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.