Individual provider Active NPI

Unknown Nkengafac Fualefac Fonge

  • Case Manager/Care Coordinator
  • Upper Marlboro, MD
National Provider Identifier
1326765991
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
9932 Prince Royal PL
Upper Marlboro, MD 20774-1153
Phone
(484) 542-2588
NPI assigned
Oct 25, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X DC Primary

Addresses

Primary practice location

9932 Prince Royal PL
Upper Marlboro, MD 20774-1153

Mailing address

9932 Prince Royal PL
Upper Marlboro, MD 20774-1153
Phone (484) 542-2588

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1326765991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9932 PRINCE ROYAL PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741153",
            "telephone_number": "484-542-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 PRINCE ROYAL PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741153",
            "telephone_number": "484-542-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKENGAFAC FUALEFAC FONGE",
        "first_name": "UNKNOWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.