Individual provider Active NPI

Eugine Nkemaka Ngufua

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1700285038
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
AHI10335 Issued in DC
Practice address
3407 Dodge Park Rd Apt 304
Hyattsville, MD 20785-2017
Phone
(202) 758-7313
NPI assigned
Aug 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X AHI10335 DC Primary

Addresses

Primary practice location

3407 Dodge Park Rd Apt 304
Hyattsville, MD 20785-2017

Mailing address

3407 Dodge Park Rd Apt 304
Hyattsville, MD 20785-2017
Phone (202) 758-7313

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

State licenses

LicenseStateTypeSpecialty
AHI10335DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1700285038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 DODGE PARK RD APT 304",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852017",
            "telephone_number": "202-758-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 DODGE PARK RD APT 304",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852017",
            "telephone_number": "202-758-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUFUA",
        "first_name": "EUGINE",
        "middle_name": "NKEMAKA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "AHI10335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.