Organization Active NPI

Tsiyyon Zion Primary Care and Wellness Center LLC

  • Primary Care Nurse Practitioner
  • Hunt Valley, MD
National Provider Identifier
1316747298
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TSIYYON ZION PRIMARY CARE AND WELLNESS CENTER LLC
Practice address
9 Schilling Rd Ste LL4
Hunt Valley, MD 21031-8616
Phone
(443) 845-3037
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Ndifreke Enyeama, FNPNPI 1295388783
Title
Owner
Phone
(240) 552-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

9 Schilling Rd Ste LL4
Hunt Valley, MD 21031-8616

Mailing address

9 Schilling Rd Ste LL4
Hunt Valley, MD 21031-8616
Phone (240) 552-5898

Other names 1

  • Tsiyyon Primary Care and Wellness Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430000513 MD Part B Supplier - Clinic/Group Practice 3173049483 Receives reassigned benefits from 1 practitioner
Practice locations: Hunt Valley, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2324485Tsiyyon (Zion) Primary Care and Wellness Ctr LLC9 Schilling Court #LL4, Hunt Valley, MD 21031Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1316747298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE LL4",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318616",
            "telephone_number": "240-552-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE LL4",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318616",
            "telephone_number": "443-845-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSIYYON ZION PRIMARY CARE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "ENYEAMA",
        "authorized_official_first_name": "NDIFREKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-552-5898",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tsiyyon Primary Care and Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tsiyyon Primary Care and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.