Active NPI
Anjong Mariama Ndifang, HOME HEALTH AID
- Home Health Aide
- Beltsville, MD
National Provider Identifier
1053842724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12527
- Practice address
- 4508 Broad Blvd
Beltsville, MD 20705-1515 - Phone
- (301) 323-5562
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA12527 | DC | Primary |
Addresses
Primary practice location
4508 Broad Blvd
Beltsville, MD 20705-1515
Mailing address
4508 Broad Blvd
Beltsville, MD 20705-1515
Phone (301) 323-5562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA12527 | Other | DC | DEPARTMENT OF HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA12527 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1053842724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 BROAD BLVD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051515",
"telephone_number": "301-323-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 BROAD BLVD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051515",
"telephone_number": "301-323-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDIFANG",
"first_name": "ANJONG",
"middle_name": "MARIAMA",
"credential": "HOME HEALTH AID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "HHA12527",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.