Individual provider Active NPI

Timothy Ayong

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1487917167
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1003459 Issued in DC
Practice address
7826 Eastern Ave NW
Ll18A
Washington, DC 20012-1324
Phone
(202) 722-7776
Fax
(202) 722-7785
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

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

State licenses

LicenseStateTypeSpecialty
LPN1003459DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JD Nursing & Management Ser Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1003459 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

7826 Eastern Ave NW
Ll18A
Washington, DC 20012-1324

Mailing address

7826 Eastern Ave NW
Ll18A
Washington, DC 20012-1324
Phone (202) 722-7776

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1487917167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "address_2": "LL18A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-722-7776",
            "fax_number": "202-722-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "address_2": "LL18A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-722-7776",
            "fax_number": "202-722-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYONG",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1003459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.