Priscilla Doreen Momoh, BSC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA30224 Issued in DC

Practice address

1949 4TH St NE
Washington, DC 20002-1211

Phone

(202) 462-7500

Fax

(202) 462-2309

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Priscilla Doreen Momoh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rap, Inc.

  • Community Health Clinic/Center
  • Washington, DC
  • NPI 1124268917
  NPD (past)
• Rap, Inc.

  • Community Health Clinic/Center
  • Washington, DC
  • NPI 1710163605
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1912218819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 SARANAC ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207832166",
            "telephone_number": "202-462-7500",
            "fax_number": "202-462-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 4TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021211",
            "telephone_number": "202-462-7500",
            "fax_number": "202-462-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOH",
        "first_name": "PRISCILLA",
        "middle_name": "DOREEN",
        "name_prefix": "Miss",
        "credential": "BSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA30224",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037410900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "MOMOH",
            "middle_name": "DOREEN",
            "prefix": "MISS",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steve Momenya
• Emilie Sandrine Momi Keugom
• Pavit Singh Momi, M.D.
• Jeminat Bose Momodu
• Mary Momoh
• Mustapha M Momulouh
• Matthew T Monaco, PT
• Maureen Monaghan, PHD
• Timothy D. Monaghan I, M.D.
• Brian P. Monahan, MD

• Medical Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Medical Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.