My Med Clinic PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MY MED CLINIC PA

Practice address

13225 Executive Park Ter
Germantown, MD 20874-2648

Phone

(301) 852-1374

NPI assigned

Sep 18, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farzana Ajmal, MDNPI 1497841563

Title

Owner

Phone

(301) 540-1332

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

My Med Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• My Med Clinic PA

  • Geriatric Medicine (Family Medicine) Physician
  • Germantown, MD
  • NPI 1245403849
  NPD tax ID

Practitioners 2

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.

• Farzana Ajmal, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Germantown, MD
  • NPI 1497841563
  NPD Authorized official
• Henriette N Kamgang-Noubissi, NP

  • Family Nurse Practitioner
  • Gaithersburg, MD
  • NPI 1649731563
  NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1336927656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742648",
            "telephone_number": "202-584-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742648",
            "telephone_number": "301-852-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MED CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "AJMAL",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-540-1332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Murray
• Ruth Anne Murray, MD
• Zakaria Muturi, RN (ADN), BVM, MSC
• Rhoda Mwangi
• My Med Clinic PA
• My Rapid RX LLC
• My Sister's Place, LLC
• Krystal June Myers, LPN
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)

• Psychiatry Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.