Active NPI
Ahmed S Fundi
- Home Health Agency
- Bladensburg, MD
National Provider Identifier
1609144872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 4237 58TH Ave Apt 10
Bladensburg, MD 20710-1936 - Phone
- (240) 396-7414
- NPI assigned
- Dec 2, 2011
- 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 Agency | 251E00000X | Primary |
Addresses
Primary practice location
4237 58TH Ave Apt 10
Bladensburg, MD 20710-1936
Mailing address
4237 58TH Ave Apt 10
Bladensburg, MD 20710-1936
Phone (240) 396-7414
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1609144872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4237 58TH AVE APT 10",
"city": "BLADENSBURG",
"state": "MD",
"postal_code": "207101936",
"telephone_number": "240-396-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4237 58TH AVE APT 10",
"city": "BLADENSBURG",
"state": "MD",
"postal_code": "207101936",
"telephone_number": "240-396-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDI",
"first_name": "AHMED",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bladensburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.