Joseph Enongene Mbong, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R218959 Issued in MD

Practice address

4101 Old National Pike
Mount Airy, MD 21771-4115

Phone

(301) 829-0800

NPI assigned

Jan 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joseph Mbong Enongene Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1144819806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 RED CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032243",
            "telephone_number": "240-421-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 OLD NATIONAL PIKE",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714115",
            "telephone_number": "301-829-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBONG",
        "first_name": "JOSEPH",
        "middle_name": "ENONGENE",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R218959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "ENONGENE",
            "middle_name": "MBONG",
            "credential": "BSN, RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Nurse in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.