NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as Montgomery County Fire and Rescue Service

  • Ambulance
  • Gaithersburg, MD
National Provider Identifier
1851635882
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Doing business as
Montgomery County Fire and Rescue Service
Practice address
100 Edison Park Dr FL 2
Gaithersburg, MD 20878-3210
Phone
(240) 777-2486
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Biodun O Ayo-Durojaiye
Title
EMS Transport Billing Manager
Phone
(240) 777-2371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

100 Edison Park Dr FL 2
Gaithersburg, MD 20878-3210

Mailing address

PO Box 824756
Philadelphia, PA 19182-4756
Phone (866) 631-3116

Other identifiers 3

IdentifierTypeStateIssuer
421687300MedicaidMD
P01162366OtherMDRAILROAD MEDICARE
AQ39OtherMDANTHEM

Other names 1

  • Montgomery County Fire and Rescue Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130208000392 DC Part B Supplier - Ambulance Service Supplier 4981675477 Practice locations: North Potomac, MD; Olney, MD; Potomac, MD; Rockville, MD; Sandy Spring, MD; Clarksburg, MD; Silver Spring, MD; Takoma Park, MD…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dept of Addiction MNT99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

100 Edison Park Dr
Fl 2
Gaithersburg, MD 20878
Phone (240) 777-2486

20633 Boland Farm Rd
Germantown, MD 20876
Phone (240) 773-4723

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1851635882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824756",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824756",
            "telephone_number": "866-631-3116",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDISON PARK DR FL 2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783210",
            "telephone_number": "240-777-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "AYO-DUROJAIYE",
        "authorized_official_first_name": "BIODUN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EMS TRANSPORT BILLING MANAGER",
        "authorized_official_telephone_number": "240-777-2371"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421687300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01162366",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "AQ39",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery County Fire and Rescue Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.