Islamic Center of Maryland

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ISLAMIC CENTER OF MARYLAND

Practice address

19411 Woodfield Rd
Gaithersburg, MD 20879-4726

Phone

(240) 477-5888

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nurudeen Thomas

Title

Treasurer

Phone

(301) 375-0521

Specialties & licenses 1

Addresses

Other names 1

• ICM CARES CLINIC Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saadia Asif Husain, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1396854584
  NPD
• Sara Azra Vazer, MD

  • Family Medicine Physician
  • Rockville, MD
  • NPI 1962452045
  NPD

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1174279228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19411 WOODFIELD RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794726",
            "telephone_number": "301-375-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 WOODFIELD RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794726",
            "telephone_number": "240-477-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAMIC CENTER OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NURUDEEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "301-375-0521"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICM CARES CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alan Joel Isenberg
• William Isenstein, R.PH.
• Mubazar Muhammad Ishfaq
• Raisa Islam
• Samsuzzuha M. Tariqul Islam
• Dana Elaine Isom, LCPC
• Dmitriy Itskovich, DDS
• Olena Ivanova, CRNP-FAMILY
• Shaylynnkinne Yvonna Ivory, LMSW
• Claressa Nicole Iwukemjika

• Community Health Clinic/Center in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.