Individual provider Active NPI

Oyindamola Mariam Seriki

  • Assisted Living Facility
  • Upper Marlboro, MD
National Provider Identifier
1225979511
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Practice address
10710 Tyrone Dr
Upper Marlboro, MD 20772-4631
Phone
(619) 951-8912
NPI assigned
Apr 2, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Day Training/Habilitation Specialist 373H00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10710 Tyrone Dr
Upper Marlboro, MD 20772-4631

Mailing address

9427 Rosmarin Way
Laurel, MD 20708-2854

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

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1225979511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9427 ROSMARIN WAY",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 TYRONE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724631",
            "telephone_number": "619-951-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIKI",
        "first_name": "OYINDAMOLA",
        "middle_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.