Active NPI
Sibley Medical Incorporated
- Durable Medical Equipment & Medical Supplies
- Lanham, MD
National Provider Identifier
1679698641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- R2462
- Legal business name
- SIBLEY MEDICAL INCORPORATED
- Practice address
- 9831 Greenbelt Road
Suite 103
Lanham, MD 20706-6224 - Phone
- (301) 937-0188
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatiatu Jobi
- Title
- Director
- Phone
- (301) 237-7023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | R2462 | MD | Primary |
Addresses
Primary practice location
9831 Greenbelt Road
Suite 103
Lanham, MD 20706-6224
Mailing address
9831 Greenbelt Rd
Suite 103
Lanham, MD 20706-2202
Phone (301) 937-0188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012529600 | Medicaid | MD | |
| 038680200 | Medicaid | DC | |
| 1679698641 | Medicaid | VA |
Other names 1
- SIBLEY MEDICAL EQUIPMENT & SUPPLIES
National Provider Directory
National Provider DirectoryLocations
3615 Rhode Island Ave
Mount Rainier, MD 20712
Phone (301) 864-0005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lanham, MD
- NPI 1841183381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471651200000",
"number": "1679698641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9831 GREENBELT RD",
"address_2": "SUITE 103",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062202",
"telephone_number": "301-937-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9831 GREENBELT ROAD",
"address_2": "SUITE 103",
"city": "LANHAM",
"state": "MD",
"postal_code": "207066224",
"telephone_number": "301-937-0188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIBLEY MEDICAL INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2016-08-20",
"status": "A",
"authorized_official_last_name": "JOBI",
"authorized_official_first_name": "FATIATU",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "301-237-7023"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "R2462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012529600",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038680200",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679698641",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SIBLEY MEDICAL EQUIPMENT & SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.