Individual provider Active NPI

Gladstone Njokem Njokem

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1235778192
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14699 Issued in DC
Practice address
3000 Lancer Dr
Hyattsville, MD 20782-3734
Phone
(240) 467-4944
NPI assigned
Dec 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA14699 DC Primary

Addresses

Primary practice location

3000 Lancer Dr
Hyattsville, MD 20782-3734

Mailing address

3000 Lancer Dr
Hyattsville, MD 20782-3734
Phone (240) 467-4944

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
HHA14699DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1235778192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LANCER DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823734",
            "telephone_number": "240-467-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LANCER DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823734",
            "telephone_number": "240-467-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOKEM",
        "first_name": "GLADSTONE",
        "middle_name": "NJOKEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.