Alpha Medical Associates Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALPHA MEDICAL ASSOCIATES INC

Practice address

2014 Whistling Duck Dr
Uppr Marlboro, MD 20774-7139

Phone

(240) 821-2195

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Ayoola Juliana Oyenuga

Title

Director

Phone

(240) 821-2195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1467091173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WHISTLING DUCK DR",
            "city": "UPPR MARLBORO",
            "state": "MD",
            "postal_code": "207747139",
            "telephone_number": "240-821-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WHISTLING DUCK DR",
            "city": "UPPR MARLBORO",
            "state": "MD",
            "postal_code": "207747139",
            "telephone_number": "240-821-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "OYENUGA",
        "authorized_official_first_name": "AYOOLA",
        "authorized_official_middle_name": "JULIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-821-2195"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Dancy Jr.
• Patricia Goodman, CRNP
• Godwin I Okafor
• United Counseling and Support Services

• Multi-Specialty Clinic/Center in Uppr Marlboro, MD
• Providers in Uppr Marlboro, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.