Individual provider Active NPI

Jude Ngwa

  • Case Manager/Care Coordinator
  • Laurel, MD
National Provider Identifier
1336996511
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
9290 Livery LN Apt a
Laurel, MD 20723-1621
Phone
(240) 636-8608
NPI assigned
May 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BLANK
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

9290 Livery LN Apt a
Laurel, MD 20723-1621

Mailing address

999 Linganyan Gulf
Virginia Beach, VA 23459-1146
Phone (240) 636-8608

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Xfinity Direct

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": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1336996511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 LINGANYAN GULF",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234591146",
            "telephone_number": "240-636-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9290 LIVERY LN APT A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231621",
            "telephone_number": "240-636-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWA",
        "first_name": "JUDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "BLANK",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Xfinity",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9290 Livery Ln Apt A",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207231621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.