Nestor Mborong

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1008727 Issued in DC

Practice address

7613 Riverdale Rd Apt 112
New Carrollton, MD 20784-3736

Phone

(240) 714-8935

NPI assigned

Apr 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1265895668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 RIVERDALE RD APT 112",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843736",
            "telephone_number": "240-714-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 RIVERDALE RD APT 112",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843736",
            "telephone_number": "240-714-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBORONG",
        "first_name": "NESTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11923",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1008727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Mbanwei
• Chinelo Mbara
• Zanna Mbeng, HHA
• Seraphine Forchaleke Mbenwoh
• Sharline Nyanga Mbongho
• Fortuchang Peter Mboya
• Med-Ped Healthcare, LLC
• Meiger Health
• Moses Senyuy Mengni
• Georges Emmanuel Mengoue Moteti

• Licensed Practical Nurse in New Carrollton, MD
• Providers in New Carrollton, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.