NPIMap

Organization Active NPI

Rose Pediatrics Care

  • Pediatrics Physician
  • Lanham, MD
National Provider Identifier
1124808241
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROSE PEDIATRICS CARE
Practice address
9500 Annapolis Rd Ste B7
Lanham, MD 20706-2080
Phone
(301) 429-5866
Fax
(301) 429-8818
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Dr. Chinyere Rose Amazu, MDNPI 1588747422
Title
Medical Director
Phone
(301) 429-5866

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

9500 Annapolis Rd Ste B7
Lanham, MD 20706-2080

Mailing address

PO Box 266
Lanham, MD 20703-0266
Phone (301) 429-5866

Other practice location 1

3611 Branch Ave Ste 403
Temple Hills, MD 20748-1251
Phone (301) 899-3337

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2056495Rose Pediatrics Care9500 Annapolis Road, Suite B-7, Lanham, MD 20706Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rose Pediatrics Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9500 Annapolis Rd
Ste B7
Lanham, MD 20706
Phone (301) 429-5866

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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1124808241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207030266",
            "telephone_number": "301-429-5866",
            "fax_number": "301-429-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ANNAPOLIS RD STE B7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062080",
            "telephone_number": "301-429-5866",
            "fax_number": "301-429-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Branch Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481251",
            "country_code": "US",
            "telephone_number": "301-899-3337",
            "fax_number": "301-899-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSE PEDIATRICS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "AMAZU",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-429-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.

Verify at the official NPI Registry.