Individual provider Active NPI

Clovette Fozong Nkeng

  • Home Health Aide
  • New Carrollton, MD
National Provider Identifier
1790632784
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200006224 Issued in DC
Practice address
7603 Riverdale Rd Apt 425
New Carrollton, MD 20784-3742
Phone
(240) 764-9286
NPI assigned
Mar 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 HHA200006224 DC Primary

Addresses

Primary practice location

7603 Riverdale Rd Apt 425
New Carrollton, MD 20784-3742

Mailing address

7603 Riverdale Rd Apt 425
New Carrollton, MD 20784-3742
Phone (240) 764-9286

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

State licenses

LicenseStateTypeSpecialty
HHA200006224DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1790632784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 RIVERDALE RD APT 425",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843742",
            "telephone_number": "240-764-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 RIVERDALE RD APT 425",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843742",
            "telephone_number": "240-764-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKENG",
        "first_name": "CLOVETTE",
        "middle_name": "FOZONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200006224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.