Martin Nkemamin Nzefeh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R213812 Issued in MD

Practice address

1406 Crain Hwy S # 104-106
Glen Burnie, MD 21061-4058

Phone

(410) 766-6624

Fax

(410) 766-0240

NPI assigned

May 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnzefeh811415@direct.hopkinsmedicine.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KNK Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1285378281

  DC

  Medicare reassignment NPD Authorized official
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• M&M Behavioral Health Solutions

  • Professional Counselor
  • Glen Burnie, MD
  • NPI 1134525710
  Medicare reassignment NPD
• Evolve Community Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Laurel, MD
  • NPI 1104648617
  NPD Authorized official
• KNK Mental Health Services LLC

  • Primary Care Clinic/Center
  • Laurel, MD
  • NPI 1982348983
  NPD Authorized official
• KNK Wellness LLC

  dba KNK Wellness

  • Clinic/Center
  • Laurel, MD
  • NPI 1275406431
  NPD (past) Authorized official
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - Division 500

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1891072286

  Psychiatric/Mental Health

  NPD
• M&M Behavioral Health Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Glen Burnie, MD
  • NPI 1508217449
  NPD
• Aspire Behavioral Connections

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1215513809
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1427317080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 PHEASANT RUN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083192",
            "telephone_number": "240-855-6293",
            "fax_number": "410-766-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S # 104-106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614058",
            "telephone_number": "410-766-6624",
            "fax_number": "410-766-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 New York Ave Suite 117",
            "address_2": "Global Healthcare Inc.",
            "address_purpose": "LOCATION",
            "city": "NE",
            "state": "DC",
            "postal_code": "20002",
            "country_code": "US",
            "telephone_number": "202-480-0813",
            "fax_number": "202-503-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NZEFEH",
        "first_name": "MARTIN",
        "middle_name": "NKEMAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R213812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Chioma Nwanna, FNP, PMHNP
• Geraldine Nwiwu-Enyinna, NP
• Joshua Chimaucheya Nwosu, PHD
• Vivian Nkechi Nwuchu, FNP-BC
• Thomas Nyabwa
• Kathleen O'Connor Watson, RN, BSN, MS
• Laura Schultz O'Donovan, CRNP
• Terrence M O'Donovan, MD
• Theron O'Halloran, MD
• Ryan O'Leary

• Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.