Organization Active NPI

Moorish Science Temple of America

  • Primary Care Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1871461343
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MOORISH SCIENCE TEMPLE OF AMERICA
Practice address
132 S Mulberry St
Hagerstown, MD 21740-5740
Phone
(240) 608-9196
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Maryam Zadeh
Title
Provider
Phone
(240) 608-9196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

132 S Mulberry St
Hagerstown, MD 21740-5740

Mailing address

132 S Mulberry St
Hagerstown, MD 21740-5740
Phone (240) 608-9196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1871461343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S MULBERRY ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405740",
            "telephone_number": "240-608-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S MULBERRY ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405740",
            "telephone_number": "240-608-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORISH SCIENCE TEMPLE OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ZADEH",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-608-9196"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.