NPIMap

Organization Active NPI

OBGYN Affiliates, PA

  • Specialist
  • Bowie, MD
National Provider Identifier
1730293416
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0032735 Issued in MD
Legal business name
OBGYN AFFILIATES, PA
Practice address
3060 Mitchellville Rd
Suite 210
Bowie, MD 20716
Phone
(301) 249-4090
Fax
(301) 390-1344
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Imad Mufarrij, M.D.NPI 1962514158
Title
Owner/MD
Phone
(301) 249-4090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X D0032735 MD Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X D0031265 MD

Addresses

Primary practice location

3060 Mitchellville Rd
Suite 210
Bowie, MD 20716

Mailing address

3060 Mitchellville Rd
Suite 210
Bowie, MD 20716
Phone (301) 249-4090

Other identifiers 2

IdentifierTypeStateIssuer
528351500MedicaidMD
41836101OtherMDBLUE CROSS BLUE SHIELD

Other names 1

  • OBGYN Affiliates Imad S Mufarrij, Manjit Risam Former legal business name

National Provider Directory

National Provider Directory

Locations

7301 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 220-2225

7425 Forbes Blvd
Ste 106
Lanham, MD 20706
Phone (301) 262-6550

11500 Old Georgetown Rd
Lowr
Rockville, MD 20852
Phone (301) 984-9646

1400 Forest Glen Rd
Ste A315
Silver Spring, MD 20910

1400 Forest Glen Rd
Ste 315A
Silver Spring, MD 20910
Phone (301) 754-7240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1730293416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-249-4090",
            "fax_number": "301-390-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-249-4090",
            "fax_number": "301-390-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN AFFILIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "MUFARRIJ",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "301-249-4090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0032735",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0031265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528351500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41836101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBGYN Affiliates Imad S Mufarrij, Manjit Risam",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.