Individual provider Active NPI

Adebola Fujah

  • Personal Care Attendant
  • Pikesville, MD
National Provider Identifier
1265864029
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
MT0066417
Practice address
4615 Horizon Cir Apt 201
Pikesville, MD 21208-2390
Phone
(443) 557-8146
NPI assigned
Aug 4, 2013
Last updated
Aug 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X MT0066417 Primary

Addresses

Primary practice location

4615 Horizon Cir Apt 201
Pikesville, MD 21208-2390

Mailing address

4615 Horizon Cir Apt 201
Pikesville, MD 21208-2390
Phone (443) 557-8146

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": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375574400000",
    "number": "1265864029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 HORIZON CIR APT 201",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082390",
            "telephone_number": "443-557-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 HORIZON CIR APT 201",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082390",
            "telephone_number": "443-557-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJAH",
        "first_name": "ADEBOLA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-04",
        "last_updated": "2013-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": "MT0066417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.