Cignet Specialist Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CIGNET SPECIALIST CARE

Practice address

12164 Central Ave Ste 200
Mitchellville, MD 20721-1907

Phone

(301) 218-9223

Fax

(301) 423-4553

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Caryl Matthew, BS

Title

Dir of Operations

Phone

(301) 423-4551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jima Telele, M.D.

  • Internal Medicine Physician
  • Mitchellville, MD
  • NPI 1356465553
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841354479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 RIVIERA ST STE ID",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481719",
            "telephone_number": "301-423-4551",
            "fax_number": "301-423-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE STE 200",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211907",
            "telephone_number": "301-218-9223",
            "fax_number": "301-423-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNET SPECIALIST CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "CARYL",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "301-423-4551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.