Individual provider Active NPI

Daniel Awa Fonjungo, RN

  • Registered Nurse
  • Glen Burnie, MD
National Provider Identifier
1619833068
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
809827 Issued in TX
Practice address
26 Greenwood CT
Glen Burnie, MD 21061-2047
Phone
(410) 329-0558
NPI assigned
Dec 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 809827 TX Primary

Addresses

Primary practice location

26 Greenwood CT
Glen Burnie, MD 21061-2047

Mailing address

26 Greenwood CT
Glen Burnie, MD 21061-2047
Phone (410) 329-0558

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
809827TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
D.a. Healthcare Innovations L.L.C. Single Specialty CurrentSince Jan 4, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1619833068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENWOOD CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612047",
            "telephone_number": "410-329-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREENWOOD CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612047",
            "telephone_number": "410-329-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONJUNGO",
        "first_name": "DANIEL",
        "middle_name": "AWA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "809827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.