Unknown Bimnenui Phonjam Ngu

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11728 Issued in DC

Practice address

8110 Lockney Ave
Takoma Park, MD 20912-7404

Phone

(301) 755-8376

NPI assigned

Mar 1, 2016

Last updated

Mar 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1528428778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 LOCKNEY AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127404",
            "telephone_number": "301-755-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 LOCKNEY AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127404",
            "telephone_number": "301-755-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIMNENUI PHONJAM NGU",
        "first_name": "UNKNOWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.