Active NPI
Graceon Family and Womens Clinic LLC
- Primary Care Clinic/Center
- Greenbelt, MD
National Provider Identifier
1477283620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- GRACEON FAMILY AND WOMENS CLINIC LLC
- Practice address
- 7315 Hanover Pkwy Ste 1B
Greenbelt, MD 20770-2035 - Phone
- (240) 965-7141
- Fax
- (240) 965-7164
- NPI assigned
- Jun 12, 2022
- Last updated
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victoria Ngozi Ogbuji, FNP
- Title
- Medical Director
- Phone
- (240) 965-7141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
7315 Hanover Pkwy Ste 1B
Greenbelt, MD 20770-2035
Mailing address
7315 Hanover Pkwy Ste 1B
Greenbelt, MD 20770-2035
Phone (240) 965-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7315 Hanover Pkwy
Ste 1B
Greenbelt, MD 20770
Phone (240) 965-7141
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1477283620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7315 HANOVER PKWY STE 1B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702035",
"telephone_number": "240-965-7141",
"fax_number": "240-965-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 HANOVER PKWY STE 1B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702035",
"telephone_number": "240-965-7141",
"fax_number": "240-965-7164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEON FAMILY AND WOMENS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-12",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "OGBUJI",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "NGOZI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "240-965-7141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.