Philip Ngu Ngundam, MBA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

14302 Pleasant View Dr
Bowie, MD 20720-4809

Phone

(240) 398-0992

Fax

(301) 273-1006

NPI assigned

Jul 23, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1669025276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 PLEASANT VIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204809",
            "telephone_number": "240-398-0992",
            "fax_number": "301-273-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 PLEASANT VIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204809",
            "telephone_number": "240-398-0992",
            "fax_number": "301-273-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUNDAM",
        "first_name": "PHILIP",
        "middle_name": "NGU",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ngongho
• Simplice Maggloire Nguepnang
• Hanla Ngule Calvine
• Brightlord Tojocha Ngulefe
• Odette Ngum Fominyam
• Godlove Ngunde Ngunde, GODLOVE
• Eugene M Ngundu
• Gerald Ngwa
• Gildas Ngwam
• Rebecca Ngwangung

• Community/Behavioral Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.