Individual provider Active NPI

Emmanuel Mbeng Mfaw Ngegie

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1710321971
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
11215 Oak Leaf Dr
14167 Apt 104
Silver Spring, MD 20901-1317
Phone
(301) 357-3761
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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 Primary

Addresses

Primary practice location

11215 Oak Leaf Dr
14167 Apt 104
Silver Spring, MD 20901-1317

Mailing address

11215 Oak Leaf Dr
14167 Apt 104
Silver Spring, MD 20901-1317
Phone (301) 357-3761

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

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1710321971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 OAK LEAF DR",
            "address_2": "14167 APT 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011317",
            "telephone_number": "301-357-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 OAK LEAF DR",
            "address_2": "14167 APT 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011317",
            "telephone_number": "301-357-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MFAW NGEGIE",
        "first_name": "EMMANUEL",
        "middle_name": "MBENG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.