Ntoge Sone Penda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R187376 Issued in MD

Practice address

2401 Research Blvd Ste 330
Rockville, MD 20850-6255

Phone

(301) 686-8554

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ntoge.penda.1@30779.direct.athenahealth.com

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.

• Dr. Jalli MD PC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1598121923

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1427645209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD STE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506255",
            "telephone_number": "301-686-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD STE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506255",
            "telephone_number": "301-686-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDA",
        "first_name": "NTOGE",
        "middle_name": "SONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tairys Pena Morales
• Paola Pena Santos
• Franklin Pena
• Donna A Pence, CRNP
• Farrah Pencle
• Gang Peng, OMD, PH.D.
• Liqin Peng, LMT
• Xiaobo Peng, MD
• Allison Penley
• Leann Mae Penn, PA-C

• Family Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.