Individual provider Active NPI

Quinter Nkenfack Ngosong

  • Home Health Aide
  • Beltsville, MD
National Provider Identifier
1356835003
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13699 Issued in MD
Practice address
4508 Broad Blvd
Beltsville, MD 20705-1515
Phone
(240) 547-7044
NPI assigned
Jun 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA13699 MD Primary

Addresses

Primary practice location

4508 Broad Blvd
Beltsville, MD 20705-1515

Mailing address

4508 Broad Blvd
Beltsville, MD 20705-1515
Phone (240) 547-7044

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

State licenses

LicenseStateTypeSpecialty
HHA13699MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1356835003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 BROAD BLVD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051515",
            "telephone_number": "240-547-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 BROAD BLVD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051515",
            "telephone_number": "240-547-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOSONG",
        "first_name": "QUINTER",
        "middle_name": "NKENFACK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "HHA13699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; 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.