NPIMap

Individual provider Active NPI

Nana T Vincent

  • Nuclear Cardiology Physician
  • Lanham, MD
National Provider Identifier
1235709148
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
N0001741 Issued in MD
Practice address
9821 Greenbelt Rd
Lanham, MD 20706-2265
Phone
(240) 424-9615
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X N0001741 MD
Nuclear Pharmacy 3336N0007X N0001741 MD
Nuclear Imaging & Therapy Physician 207UN0902X N0001741 MD
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X N0001741 MD
Nuclear Radiology Physician 2085N0904X N0001741 MD
Nuclear Medicine Technology Radiologic Technologist 2471N0900X N0001741 MD
Nuclear Cardiology Physician 207UN0901X N0001741 MD Primary

Addresses

Primary practice location

9821 Greenbelt Rd
Lanham, MD 20706-2265

Mailing address

PO Box 122
Lanham, MD 20703-0122
Phone (240) 424-9615

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

State licenses

LicenseStateTypeSpecialty
N0001741MDMDIn Vivo & In Vitro Nuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iplansafe Services LLC Nuclear Imaging & Therapy CurrentSince Jul 17, 2021 Accepting new patients
Americare Nucmed Clinic & General Practice LLC Nuclear Medicine Current Accepting new patients

Locations

9821 Greenbelt Rd
Lanham, MD 20706
Phone (301) 220-3500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1235709148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207030122",
            "telephone_number": "240-424-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062265",
            "telephone_number": "240-424-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "NANA",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MD",
            "license": "N0001741",
            "primary": false
        },
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "MD",
            "license": "N0001741",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MD",
            "license": "N0001741",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "MD",
            "license": "N0001741",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MD",
            "license": "N0001741",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "MD",
            "license": "N0001741",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MD",
            "license": "N0001741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.