Active NPI
Aldrin Sabum Jonkam
- Community Health Worker
- Washington, DC
National Provider Identifier
1366889701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 702 15TH St NE
Washington, DC 20002-4508 - Phone
- (202) 388-8500
- NPI assigned
- May 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | DC | Primary |
Addresses
Primary practice location
702 15TH St NE
Washington, DC 20002-4508
Mailing address
7121 Yamhill Way
Glen Burnie, MD 21060-8727
Phone (602) 348-8071
Other practice location 1
4017 Minnesota Ave NE
Washington, DC 20019-3541
Phone (202) 388-9202
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Care Servies Inc. | Current | Accepting new patients | |
| Amazing Love Health Services | Past | Accepting new patients | |
| Ab3 Health Services | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1356037634
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1730567991
-
- Community/Behavioral Health Agency
- Hyattsville, MD
- NPI 1447758743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1366889701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 YAMHILL WAY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210608727",
"telephone_number": "602-348-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 15TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024508",
"telephone_number": "202-388-8500"
}
],
"practiceLocations": [
{
"address_1": "4017 Minnesota Ave NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200193541",
"country_code": "US",
"telephone_number": "202-388-9202",
"fax_number": "202-388-9209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONKAM",
"first_name": "ALDRIN",
"middle_name": "SABUM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-24",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.