Active NPI
Gboyega Adeniyi
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1659635332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5820 Dix St NE
Washington, DC 20019-6965 - Phone
- (202) 547-3870
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Home Health Agency
- Washington, DC
- NPI 1811940513
-
- Adult Mental Health Clinic/Center
- Washington, DC
- NPI 1437628914
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Health Services, LLC | Past | Accepting new patients | |
| JD Nursing & Management Ser | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5820 Dix St NE
Washington, DC 20019-6965
Mailing address
2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646
Phone (202) 827-9961
Other practice location 1
2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646
Phone (202) 827-9961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2023.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1659635332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2759 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322646",
"telephone_number": "202-827-9961",
"fax_number": "202-827-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 DIX ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200196965",
"telephone_number": "202-547-3870"
}
],
"practiceLocations": [
{
"address_1": "2759 Martin Luther King Jr Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200322646",
"country_code": "US",
"telephone_number": "202-827-9961",
"fax_number": "202-827-9963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADENIYI",
"first_name": "GBOYEGA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.