Amajjin Health and Wellness LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

AMAJJIN HEALTH AND WELLNESS LLC

Practice address

20522 Falcons Landing Cir
Potomac Falls, VA 20165-7595

Phone

(703) 404-5100

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Krystle Brown

Title

Billing Manager

Phone

(410) 870-9380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariatu Koroma-Nelson, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Falls Church, VA
  • NPI 1568756070
  Medicare reassignment NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1801576897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 CHANCERY PARK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308103",
            "telephone_number": "410-870-9380",
            "fax_number": "410-431-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20522 FALCONS LANDING CIR",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201657595",
            "telephone_number": "703-404-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAJJIN HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-870-9380"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailan Abdelrazek, D .D.S
• Anna Vu Abel, D.D.S.
• Acadia Home Care LLC
• Adams Smile Center
• American Oncology Partners, P.a. (Oncology Hematology of Loudoun and Reston Falcons Landing)
• Abdella Anwarzai
• Heidi Kambrod Archer, MD
• Bestcare Medical Transport LLC
• Sukhmani Bhogal

• Geriatric Medicine (Family Medicine) Physician in Potomac Falls, VA
• Providers in Potomac Falls, VA by specialty
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.