Individual provider Active NPI

Mojisola Ajarat Otunubi Ishola

  • Home Health Aide
  • New Carrollton, MD
National Provider Identifier
1407622400
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200003263 Issued in DC
Practice address
5327 85TH Ave Apt 202
New Carrollton, MD 20784-3223
Phone
(240) 906-1280
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X HHA200003263 DC Primary

Addresses

Primary practice location

5327 85TH Ave Apt 202
New Carrollton, MD 20784-3223

Mailing address

5327 85TH Ave Apt 202
New Carrollton, MD 20784-3223
Phone (240) 906-1280

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
HHA200003263DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1407622400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 85TH AVE APT 202",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843223",
            "telephone_number": "240-906-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 85TH AVE APT 202",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843223",
            "telephone_number": "240-906-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUNUBI ISHOLA",
        "first_name": "MOJISOLA",
        "middle_name": "AJARAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200003263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.