NPIMap

Organization Active NPI

Galaxy Medical Services, LLC

  • Primary Care Clinic/Center
  • Riverdale, MD
National Provider Identifier
1861884827
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R132487 Issued in MD
Legal business name
GALAXY MEDICAL SERVICES, LLC
Practice address
5316 Wiley St
Riverdale, MD 20737-3045
Phone
(240) 441-7299
NPI assigned
Feb 28, 2015
Last updated
Feb 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Authorized official

Name
Dr. Eunice Adaku Okoro, DNP, CRNPNPI 1346267770
Title
Owner
Phone
(301) 909-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R132487 MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X R132487 MD
Primary Care Clinic/Center 261QP2300X R132487 MD Primary

Addresses

Primary practice location

5316 Wiley St
Riverdale, MD 20737-3045

Mailing address

3611 Branch Ave
309
Temple Hills, MD 20748-1242
Phone (301) 909-0123

National Provider Directory

National Provider Directory
Tax ID family
Galaxy Medical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425081600000",
    "number": "1861884827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE",
            "address_2": "309",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481242",
            "telephone_number": "301-909-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 WILEY ST",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207373045",
            "telephone_number": "240-441-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-02-28",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "ADAKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-909-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "R132487",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "R132487",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R132487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.