Active NPI
Eric Ngnintedem
- Home Health Aide
- Washington DC, DC
National Provider Identifier
1598025918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA1205
- Practice address
- 6856 Eastern Avenue NW Suite 350
Washington DC, DC 20012 - Phone
- (202) 545-0211
- Fax
- (240) 751-4156
- NPI assigned
- May 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA1205 | DC | Primary |
Addresses
Primary practice location
6856 Eastern Avenue NW Suite 350
Washington DC, DC 20012
Mailing address
5003 47TH Ave
Hyattsville, MD 20781-2318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ERIC NGNINTEDEM1 | Medicaid | DC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA1205 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1598025918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5003 47TH AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207812318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 EASTERN AVENUE NW SUITE 350",
"city": "WASHINGTON DC",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-545-0211",
"fax_number": "240-751-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGNINTEDEM",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-18",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ERIC NGNINTEDEM1",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington DC, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.