Active NPI
Boris Nkeng Ajeng
- Social Worker
- Laurel, MD
National Provider Identifier
1831910231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 8400 Woodland Manor Dr
Laurel, MD 20724-1900 - Phone
- (781) 428-5399
- NPI assigned
- Oct 18, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
8400 Woodland Manor Dr
Laurel, MD 20724-1900
Mailing address
8400 Woodland Manor Dr
Laurel, MD 20724-1900
Phone (781) 428-5399
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1831910231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 WOODLAND MANOR DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207241900",
"telephone_number": "781-428-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 WOODLAND MANOR DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207241900",
"telephone_number": "781-428-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJENG",
"first_name": "BORIS",
"middle_name": "NKENG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-18",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.