Magnificus Corporation Government Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MAGNIFICUS CORPORATION GOVERNMENT SERVICES

Practice address

125A L Street, SE
Washington, DC 20003

Phone

(202) 838-8086

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Akintoye O Shoetan, PA-C

Title

President

Phone

(202) 838-8086

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1144088758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125A L STREET, SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20003",
            "telephone_number": "202-838-8086",
            "fax_number": "888-829-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125A L STREET, SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20003",
            "telephone_number": "202-838-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICUS CORPORATION GOVERNMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "SHOETAN",
        "authorized_official_first_name": "AKINTOYE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-838-8086",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Magnarella, PT
• Corentine V Magne
• Diane C Magne
• Cecilia Ann Magnetti, M.S., R.D.
• Magnificus Corporation
• Katherine Jacobson Magnusen
• Kelly Magoffin, MS, RD, LD
• Gena A Magona
• Hawa Dejan Magona
• Micheline Magoua Zyzy

• Developmental Disabilities Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Developmental Disabilities Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.