Organization Active NPI

Atofom LLC

  • Community/Behavioral Health Agency
  • Bowie, MD
National Provider Identifier
1083339733
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ATOFOM LLC
Practice address
15711 Ensleigh LN
Bowie, MD 20716-3235
Phone
(667) 942-0288
Fax
(301) 804-0257
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Temitope Adebusoye, NPNPI 1346917200
Title
Owner
Phone
(301) 675-9644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15711 Ensleigh LN
Bowie, MD 20716-3235

Mailing address

15711 Ensleigh LN
Bowie, MD 20716-3235
Phone (301) 675-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230110003226 DC Part B Supplier - Clinic/Group Practice 9830569706 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD; Laurel, MD

National Provider Directory

National Provider Directory

Locations

14502 Greenview Dr
Ste 435
Laurel, MD 20708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1083339733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15711 ENSLEIGH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163235",
            "telephone_number": "301-675-9644",
            "fax_number": "301-804-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15711 ENSLEIGH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163235",
            "telephone_number": "667-942-0288",
            "fax_number": "301-804-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOFOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "ADEBUSOYE",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-675-9644",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.