Active NPI
Fortuchang Peter Mboya
- Home Health Aide
- New Carrollton, MD
National Provider Identifier
1427317049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 7777 Riverdale Rd
Apt 102
New Carrollton, MD 20784-3937 - Phone
- (301) 755-8689
- NPI assigned
- May 16, 2012
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
7777 Riverdale Rd
Apt 102
New Carrollton, MD 20784-3937
Mailing address
7777 Riverdale Rd
Apt 102
New Carrollton, MD 20784-3937
Phone (301) 755-8689
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1427317049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 RIVERDALE RD",
"address_2": "APT 102",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207843937",
"telephone_number": "301-755-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 RIVERDALE RD",
"address_2": "APT 102",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207843937",
"telephone_number": "301-755-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBOYA",
"first_name": "FORTUCHANG",
"middle_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"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 May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.