Mazique Pediatrics, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D38503 Issued in MD

Legal business name

MAZIQUE PEDIATRICS, P.C.

Practice address

10416 Campus Way S
Upper Marlboro, MD 20774-1390

Phone

(301) 333-8900

Fax

(301) 333-8826

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Natasha Gaskillnarine

Title

Chief Operating Officer

Phone

(301) 333-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ingrid Mazique, MD

  • Pediatrics Physician
  • Greenbelt, MD
  • NPI 1629005251
  NPD (past)
• Tiffani N Muhammad, FNP-BC, RN

  • Family Nurse Practitioner
  • Hyattsville, MD
  • NPI 1104123108
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1730229956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 CAMPUS WAY S",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741390",
            "telephone_number": "301-333-8900",
            "fax_number": "301-333-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10416 CAMPUS WAY S",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741390",
            "telephone_number": "301-333-8900",
            "fax_number": "301-333-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZIQUE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "GASKILLNARINE",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "301-333-8900"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D38503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064981300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuella Mafong Mayah
• Suzzy Mayang-Nkwanyuo
• Evelyn Maye
• Sheila Arciaga Mayo-Olano, M.D.
• Lori Tiffany Maze
• Okechukwu Mbadugha, HHA
• Bridget Mbah
• Comfort Chidochirim Mbah
• Dorice Buek Mbah
• Joyce Lepyonga Mbah

• Primary Care Clinic/Center in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.