Active NPI
Njideka U Onu, NURSE PRACTITIONER
- Nurse Practitioner
- Potomac Falls, VA
National Provider Identifier
1497358642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2020092490
- Practice address
- 46090 Lake Center PLZ Ste 201
Potomac Falls, VA 20165-5878 - Phone
- (240) 486-6516
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2020092490 | VA | Primary |
Addresses
Primary practice location
46090 Lake Center PLZ Ste 201
Potomac Falls, VA 20165-5878
Mailing address
PO Box 4212
Woodbridge, VA 22194-4212
Phone (571) 481-2442
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221020002841 | DC | Practitioner - Nurse Practitioner | 7810363504 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020092490 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Healthcare, LLC | Current | Accepting new patients | |
| Med-Ped Health Care LLC | Current | Accepting new patients | |
| Express Healthcare, LLC | Past | Accepting new patients |
Locations
6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112
6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400
6305 Castle Pl
Ste 2D
Falls Church, VA 22044
Phone (703) 344-8355
Interoperability endpoints
- https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- College Park, MD
- NPI 1447605712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1497358642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4212",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221944212",
"telephone_number": "571-481-2442",
"fax_number": "703-619-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46090 LAKE CENTER PLZ STE 201",
"city": "POTOMAC FALLS",
"state": "VA",
"postal_code": "201655878",
"telephone_number": "240-486-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONU",
"first_name": "NJIDEKA",
"middle_name": "U",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "2020092490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.