Active NPI
Motsen LLC
- Occupational Medicine Clinic/Center
- Bethesda, MD
National Provider Identifier
1043636608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- MOTSEN LLC
- Practice address
- 4641 Montgomery Ave Ste 10
Bethesda, MD 20814-3590 - Phone
- (301) 657-3033
- Fax
- (240) 408-7887
- NPI assigned
- Mar 6, 2014
- 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
- Thomas Musembi
- Title
- General Manager
- Phone
- (301) 657-3033
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Occupational Medicine Clinic/Center | 261QX0100X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | 1538477971 | MD | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
4641 Montgomery Ave Ste 10
Bethesda, MD 20814-3590
Mailing address
4641 Montgomery Ave
Suite 10 Lower Level
Bethesda, MD 20814-3488
Phone (301) 657-3033
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326574799 | Other | NPI-DR TEAGUE | |
| 1932455300 | Medicaid | MD | |
| 1518028984 | Medicaid | MD | |
| 1306092135 | Other | NPI- DR. MCCALL | |
| 1306092135 | Medicaid | MD | |
| 1518028984 | Other | NPI DR. KARM | |
| 1588190813 | Medicaid | MD | |
| 1932455300 | Other | NPI DR. BEY | |
| 1326574799 | Medicaid | MD | |
| 1588190813 | Other | NPI-DR. AJOSE |
Other names 1
- Buckley's Renewal Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2058137 | Buckley'S Renewal Center | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
4641 Montgomery Ave
Ste 10
Bethesda, MD 20814
Phone (301) 657-3033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1043636608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 MONTGOMERY AVE",
"address_2": "SUITE 10 LOWER LEVEL",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143488",
"telephone_number": "301-657-3033",
"fax_number": "301-657-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 MONTGOMERY AVE STE 10",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143590",
"telephone_number": "301-657-3033",
"fax_number": "240-408-7887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTSEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-06",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "MUSEMBI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "301-657-3033"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MD",
"license": "1538477971",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-DR TEAGUE",
"identifier": "1326574799",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932455300",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518028984",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI- DR. MCCALL",
"identifier": "1306092135",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306092135",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI DR. KARM",
"identifier": "1518028984",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588190813",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI DR. BEY",
"identifier": "1932455300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326574799",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-DR. AJOSE",
"identifier": "1588190813",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Buckley's Renewal Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Buckley's Renewal Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.