Stephen M Mbah

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1005610 Issued in DC

Practice address

1822 Metzerott Rd Apt 407
Adelphi, MD 20783-5162

Phone

(240) 581-2620

NPI assigned

Sep 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1649520529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 METZEROTT RD APT 407",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835162",
            "telephone_number": "240-581-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 METZEROTT RD APT 407",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835162",
            "telephone_number": "240-581-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1005610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Massing Epse Moffo, PCA
• Marvalee M Mattrasingh, DDS
• Anjeck A Mbah
• Emmanuel Nsoh Mbah I, HHA
• Mirabelle Engonw Mbah
• Veronica Mbah
• Marie Mbawah
• Catherine Mbi, ED.S.
• Amanda Mercer
• MH Adelphi Operating, LLC

• Licensed Practical Nurse in Adelphi, MD
• Providers in Adelphi, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.