Tabot Bisong Ayuk
Individual provider Active NPI Case Manager/Care Coordinator · Riverdale, MD
NPI 1508640764 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1508640764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 5409 Riverdale Rd Apt B2
Riverdale, MD 20737-2369 - Phone
- (301) 467-0042
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | DC | Yes | |
| Home Health Aide | 374U00000X | DC |
Addresses
Primary practice location
5409 Riverdale Rd Apt B2
Riverdale, MD 20737-2369
Mailing address
5409 Riverdale Rd Apt B2
Riverdale, MD 20737-2369
Phone (301) 467-0042
Other providers in Riverdale, MD
- Lanre Hakeem Awesu
- Kunle Folayan Awofisibe
- Yemisi Precious Awofisibe
- Ayisha Awudu
- Kate Ayika
- Clovis Fontebo Azaah
- Hilary Kungang Azemzi
- Anselm Azongho
- Geraldine Mbirka Azongho
- Sikira Chantal Backus
All providers in Riverdale, MD · Case Manager/Care Coordinator in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.