Individual provider Active NPI

Martial Duclair Tchoffo Ngougnou

  • Home Health Aide
  • Adelphi, MD
National Provider Identifier
1790163731
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1808 Metzerott Rd Apt 56
Adelphi, MD 20783-5123
Phone
(202) 760-7533
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

1808 Metzerott Rd Apt 56
Adelphi, MD 20783-5123

Mailing address

1808 Metzerott Rd Apt 56
Adelphi, MD 20783-5123
Phone (202) 760-7533

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1790163731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 METZEROTT RD APT 56",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835123",
            "telephone_number": "202-760-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 METZEROTT RD APT 56",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835123",
            "telephone_number": "202-760-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHOFFO NGOUGNOU",
        "first_name": "MARTIAL DUCLAIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.