Active NPI
Baboucarr Jallow
- Private Vehicle
- Charlottesville, VA
National Provider Identifier
1881170546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- VWT-2561
- Practice address
- 2647 Hydraulic Rd Apt F
Charlottesville, VA 22901-2321 - Phone
- (540) 827-8892
- NPI assigned
- Jul 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | VWT-2561 | VA | Primary |
Addresses
Primary practice location
2647 Hydraulic Rd Apt F
Charlottesville, VA 22901-2321
Mailing address
2647 Hydraulic Rd Apt F
Charlottesville, VA 22901-2321
Phone (540) 827-8892
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VWT-2561 | VA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1881170546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 HYDRAULIC RD APT F",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012321",
"telephone_number": "540-827-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 HYDRAULIC RD APT F",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012321",
"telephone_number": "540-827-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALLOW",
"first_name": "BABOUCARR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "VA",
"license": "VWT-2561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.