Geoffrey Ngam

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R226053 Issued in MD

Practice address

12302 Somerset Ave # Ab
Princess Anne, MD 21853-3099

Phone

(410) 651-0300

NPI assigned

Jul 2, 2012

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Atlantic Medicine LLCGroup PAC ID 6204202864, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid Atlantic Medicine LLC

  • Urgent Care Clinic/Center
  • Washington, DC
  • NPI 1508459199

  Single Specialty

  Medicare reassignment Care Compare group NPD
• MNR Industries, LLC

  dba ExpressCare of Bowie

  • Urgent Care Clinic/Center
  • Bowie, MD
  • NPI 1093130924

  DC, Single Specialty

  Medicare reassignment NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146

  Single Specialty

  NPD
• MNR Industries, LLC

  dba ExpressCare of Bel Air

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703

  Single Specialty

  NPD
• MNR Industries, LLC

  dba ExpressCare of Eldersburg

  • Urgent Care Clinic/Center
  • Eldersburg, MD
  • NPI 1568844678
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1831453000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE SUITE 117",
            "address_2": "GLOBAL HEATHCARE INC.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20002",
            "telephone_number": "202-269-4181",
            "fax_number": "202-503-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 SOMERSET AVE # AB",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218533099",
            "telephone_number": "410-651-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAM",
        "first_name": "GEOFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R226053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan's EMS First Response
• Patricia Ann Nativio, LAT
• Next Chapter Behavioral Health LLC
• Next Chapter Behavioral Health LLC
• Next Chapter Behavioral Health LLC
• Charles Wheeler Novak, CRNP-PMH
• Nu Pathway Healthcare and Wellness LLC
• Kristine Oladayo Oladipo, DDS
• Palmetto Corner, LLC
• James Hyun Park, PHARMD

• Family Nurse Practitioner in Princess Anne, MD
• Providers in Princess Anne, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.