Rehoboth Medical Center LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

REHOBOTH MEDICAL CENTER LLC

Practice address

11223 Lockwood Dr
Silver Spring, MD 20901-4554

Phone

(240) 254-3375

Fax

(410) 844-6442

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Kathryn Maduforo, DNP, NP-CNPI 1750946729

Title

Ceo

Phone

(240) 254-3375

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Maduforo, NP

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1750946729

  Clinic/Center, DC

  Medicare reassignment NPD Authorized official
• Esther Nonyelum Ejinaka

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
  • NPI 1376310029

  DC

  Medicare reassignment

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1356980270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014554",
            "telephone_number": "240-254-3375",
            "fax_number": "410-844-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014554",
            "telephone_number": "240-254-3375",
            "fax_number": "410-844-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MADUFORO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-254-3375",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Regis
• Ryan Anthony Regner, PTA
• Rehabilitaton Services of Greater Washington LLC
• Asma Rehman
• Maria Rehmann
• Anita Reichmann, RPH
• Dawn Reikowsky
• Jennifer Jean Reil
• Alexandria A Reilly, M.D.
• Matthew John Reinhard, PSY.D.

• Primary Care Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.