NPIMap

Organization Active NPI

Bethesda Clinics, LLC

  • Nurse Practitioner
  • College Park, MD
National Provider Identifier
1548844954
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BETHESDA CLINICS, LLC
Practice address
7309 Baltimore Ave Ste 200
College Park, MD 20740-3200
Phone
(443) 817-0773
NPI assigned
May 11, 2021
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Adedayo Ekundayo, PHDNPI 1225508682
Title
Ceo
Phone
(301) 892-6296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7309 Baltimore Ave Ste 200
College Park, MD 20740-3200

Mailing address

7309 Baltimore Ave Ste 200
College Park, MD 20740-3200

National Provider Directory

National Provider Directory

Locations

7309 Baltimore Ave
Ste 200
College Park, MD 20740
Phone (443) 817-0773

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": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1548844954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 BALTIMORE AVE STE 200",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 BALTIMORE AVE STE 200",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403200",
            "telephone_number": "443-817-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "EKUNDAYO",
        "authorized_official_first_name": "ADEDAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-892-6296",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.