Individual provider Active NPI

Janet Abimwo Gang, CRNP

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1679062046
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R191796 Issued in MD
Practice address
13000 Brookmill CT
Laurel, MD 20708-2350
Phone
(301) 408-8987
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R191796 MD Primary

Addresses

Primary practice location

13000 Brookmill CT
Laurel, MD 20708-2350

Mailing address

13000 Brookmill CT
Laurel, MD 20708-2350
Phone (301) 408-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181120001356 MD Practitioner - Nurse Practitioner 2466706957 Reassigns benefits to 4 organizations
I20200116000461 DC Practitioner - Nurse Practitioner 2466706957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Health Care Services LLCGroup PAC ID 6204364169, 13 clinicians

Practice addresses (Care Compare)

1314 Bedford Ave
Suite 113
Pikesville, MD 21208-3737
Phone (443) 868-7956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R191796MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Med Group Family CurrentSince Apr 5, 2020 Accepting new patients
Post Acute Health Care Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Priority Medical Group, LLC CurrentSince Oct 5, 2021 Accepting new patients
Kinetic Medical Group Family CurrentSince Apr 16, 2023 Accepting new patients
Health Practice Partners LLC CurrentSince Mar 6, 2020 Accepting new patients
Devoted Care LLC Current Accepting new patients
Andreli Professional Advising and Resources, LLC CurrentSince Jun 27, 2022 Accepting new patients
Kinetic Primary Care CurrentSince May 1, 2023 Accepting new patients
Psychogeriatric Services LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

1300 S Ellwood Ave
Baltimore, MD 21224
Phone (410) 342-6644

5805 Queens Chapel Rd
Hyattsville, MD 20782
Phone (301) 277-6500

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

8028 Ritchie Hwy
Ste 210B
Pasadena, MD 21122
Phone (410) 342-6644

8028 Ritchie Hwy
Ste 210
Pasadena, MD 21122
Phone (410) 733-3292

1314 Bedford Ave
Ste 150
Pikesville, MD 21208

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22408/brand/1/csg/1/fhir/r4
  • Direct secure messaging: janet.gang.1@22408.direct.athenahealth.com

Organizations & group practices 9

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1679062046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BROOKMILL CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082350",
            "telephone_number": "301-408-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BROOKMILL CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082350",
            "telephone_number": "301-408-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANG",
        "first_name": "JANET",
        "middle_name": "ABIMWO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R191796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.