Active NPI
Ives Eyongeta Bisong
- Home Health Aide
- Takoma Park, MD
National Provider Identifier
1659616209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA2367
- Practice address
- 6731 New Hampshire Ave
Apt 201
Takoma Park, MD 20912-4863 - Phone
- (234) 521-1957
- NPI assigned
- Dec 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Home Health Aide | 374U00000X | HHA2367 | DC | Primary |
Addresses
Primary practice location
6731 New Hampshire Ave
Apt 201
Takoma Park, MD 20912-4863
Mailing address
7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616
Phone (202) 723-3060
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 |
|---|---|---|---|
| HHA2367 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1659616209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 GEORGIA AVE NW STE 323",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121616",
"telephone_number": "202-723-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVE",
"address_2": "APT 201",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124863",
"telephone_number": "234-521-1957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISONG",
"first_name": "IVES",
"middle_name": "EYONGETA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-09",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA2367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.