Fred Ezekiel Neequaye, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0002742 Issued in MD

Practice address

7411 Riggs Rd
Suite 404
Hyattsville, MD 20783-4246

Phone

(301) 445-0600

Fax

(301) 445-1516

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fred.neequaye@514725723242500.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Primary Care Inc

  • Family Medicine Physician
  • Gaithersburg, MD
  • NPI 1447429634
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780712968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 JAMIESON PL",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741475",
            "telephone_number": "240-997-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 RIGGS RD",
            "address_2": "SUITE 404",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834246",
            "telephone_number": "301-445-0600",
            "fax_number": "301-445-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEQUAYE",
        "first_name": "FRED",
        "middle_name": "EZEKIEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rose Neh
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• Neibauer Dental Care, PC
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• Medical Physician Assistant in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.