Mycare Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MYCARE MEDICAL CLINIC INC

Practice address

7300 Hanover Dr Ste 103
Greenbelt, MD 20770-2250

Phone

(202) 341-7678

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Adaeze Amina Nwokeji, CRNP

Title

President/Ceo

Phone

(202) 341-7678

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1346880440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 SOUTHERN SPRINGS LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746074",
            "telephone_number": "202-341-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702250",
            "telephone_number": "202-341-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NWOKEJI",
        "authorized_official_first_name": "ADAEZE",
        "authorized_official_middle_name": "AMINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-341-7678",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.