NPIMap

Organization Active NPI

J.M.J Health Care Servics, LLC

  • Clinical Neuropsychologist
  • Glenn Dale, MD
National Provider Identifier
1811271695
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
J.M.J HEALTH CARE SERVICS, LLC
Practice address
12150 Annapolis Rd
Glenn Dale, MD 20769-9183
Phone
(202) 361-8012
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
James Fonge
Title
Director
Phone
(202) 361-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

12150 Annapolis Rd
Glenn Dale, MD 20769-9183

Mailing address

12150 Annapolis Rd
Glenn Dale, MD 20769-9183

Other identifiers 1

IdentifierTypeStateIssuer
442168000MedicaidMD

Other names 1

  • J.M.J Health Care Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JMJ Health Care Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12150 Annapolis Rd
Glenn Dale, MD 20769
Phone (301) 352-8370

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1811271695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "202-361-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.M.J HEALTH CARE SERVICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "FONGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-361-8012"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442168000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.M.J Health Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.