Organization Active NPI

Sibley Medical Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Lanham, MD
National Provider Identifier
1679698641
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R2462 Issued in MD
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

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Fatiatu JobiNPI 1841183381
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012529600MedicaidMD
038680200MedicaidDC
1679698641MedicaidVA

Other names 1

  • SIBLEY MEDICAL EQUIPMENT & SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.