Individual provider Active NPI

Nelson Y Degoh

  • Home Health Aide
  • Adelphi, MD
National Provider Identifier
1194082545
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2000 Erie St
Apt 202
Adelphi, MD 20783-2335
Phone
(301) 263-5430
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2000 Erie St
Apt 202
Adelphi, MD 20783-2335

Mailing address

2000 Erie St
Apt 202
Adelphi, MD 20783-2335
Phone (301) 263-5430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2012.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1194082545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ERIE ST",
            "address_2": "APT 202",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207832335",
            "telephone_number": "301-263-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ERIE ST",
            "address_2": "APT 202",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207832335",
            "telephone_number": "301-263-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOH",
        "first_name": "NELSON",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.