Active NPI
Ngozi Martha Eboh, FNP-BC
- General Acute Care Hospital
- Washington, DC
National Provider Identifier
1801407028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- RN1007255
- Practice address
- 110 Irving St NW # 2Hicu
Washington, DC 20010-3017 - Phone
- (202) 877-7753
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R170965 | MD | |
| General Acute Care Hospital | 282N00000X | RN1007255 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW # 2Hicu
Washington, DC 20010-3017
Mailing address
7600 Ora Glen Dr Unit 1224
Greenbelt, MD 20768-7562
Phone (301) 351-5615
Other practice location 1
7231 Hanover Pkwy Ste A
Greenbelt, MD 20770-2027
Phone (301) 220-0866
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN1007255 | DC | MD | General Acute Care Hospital |
| R170965 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1801407028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 ORA GLEN DR UNIT 1224",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207687562",
"telephone_number": "301-351-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW # 2HICU",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-7753"
}
],
"practiceLocations": [
{
"address_1": "7231 Hanover Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207702027",
"country_code": "US",
"telephone_number": "301-220-0866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBOH",
"first_name": "NGOZI",
"middle_name": "MARTHA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R170965",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "DC",
"license": "RN1007255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.