Organization Active NPI

Advanced Neighborhood Pediatrics

  • Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1174954705
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANCED NEIGHBORHOOD PEDIATRICS
Practice address
8607 2ND Ave Ste 505a
Silver Spring, MD 20910-3355
Phone
(240) 641-8160
Fax
(240) 331-0073
NPI assigned
Dec 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Onyinye C Onyekwere, MD, MS, FAAPNPI 1477658128
Title
Medical Director
Phone
(240) 641-8160

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X D0063251 MD
Medical Specialty Clinic/Center 261QM2500X MD33750 DC
Primary Care Clinic/Center 261QP2300X D0063251 MD
Primary Care Clinic/Center 261QP2300X MD33750 DC

Addresses

Primary practice location

8607 2ND Ave Ste 505a
Silver Spring, MD 20910-3355

Mailing address

12239 Cypress Spring Rd
Suite 010
Clarksburg, MD 20871-4415
Phone (240) 374-8616

Other practice location 1

23212 Ridge Rd
Germantown, MD 20876-4552
Phone (240) 641-8160

Other practice location 2

12239 Cypress Spring Rd
Clarksburg, MD 20871-4415
Phone (240) 780-7159

Other identifiers 5

IdentifierTypeStateIssuer
035348700MedicaidDC
097545400MedicaidDC
403549600MedicaidMD
403549601MedicaidMD
347196OtherDCMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140506000224 DC Part B Supplier - Clinic/Group Practice 8820221468 Receives reassigned benefits from 2 practitioners
Practice locations: Germantown, MD; Silver Spring, MD

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
21D2077826Advanced Neighborhood Pediatrics LLC23212 Ridge Rd, Germantown, MD 20876Certificate of waiverMay 14, 2028
21D2112273Advanced Neighborhood Pediatrics LLC8607 Second Ave 505a, Silver Spring, MD 20910Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

8607 2nd Ave
#505A
Silver Spring, MD 20910

8607 2nd Ave
Ste 505A
Silver Spring, MD 20910
Phone (240) 641-8160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8141/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1174954705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12239 CYPRESS SPRING RD",
            "address_2": "SUITE 010",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714415",
            "telephone_number": "240-374-8616",
            "fax_number": "240-780-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 2ND AVE STE 505A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103355",
            "telephone_number": "240-641-8160",
            "fax_number": "240-331-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23212 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764552",
            "country_code": "US",
            "telephone_number": "240-641-8160",
            "fax_number": "240-331-0073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12239 Cypress Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "MD",
            "postal_code": "208714415",
            "country_code": "US",
            "telephone_number": "240-780-7159",
            "fax_number": "240-780-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED NEIGHBORHOOD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "ONYEKWERE",
        "authorized_official_first_name": "ONYINYE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-641-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS, FAAP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0063251",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DC",
            "license": "MD33750",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0063251",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DC",
            "license": "MD33750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035348700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097545400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403549600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403549601",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "347196",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.