Magass Family Medicine & Urgent Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R185466 Issued in MD

Legal business name

MAGASS FAMILY MEDICINE & URGENT CARE

Practice address

2970 Dede Rd
Finksburg, MD 21048-2340

Phone

(443) 487-4053

NPI assigned

Jan 11, 2018

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Danielle MagassoubaNPI 1104281484

Title

CRNP

Phone

(443) 487-4053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

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.

• Melissa Danielle Magassouba

  • Psychiatric/Mental Health Nurse Practitioner
  • Finksburg, MD
  • NPI 1104281484
  Medicare reassignment Authorized official
• Sherry Marie Pearson, NP-C

  • Family Nurse Practitioner
  • Phoenix, MD
  • NPI 1750867305
  Medicare reassignment NPD
• Megan Ryan-Riffle, CRNP

  • Nurse Practitioner
  • Owings Mills, MD
  • NPI 1356957534
  Medicare reassignment
• Moriba Magassouba, PA-C

  • Medical Physician Assistant
  • Finksburg, MD
  • NPI 1629229737
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1942718010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 DEDE RD STE 4",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482349",
            "telephone_number": "443-487-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 DEDE RD",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482340",
            "telephone_number": "443-487-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGASS FAMILY MEDICINE & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MAGASSOUBA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "443-487-4053"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Konits
• Ann Storey Kumpf
• Sarah Irene Kuo, D.D.S.
• John Kupsa, ATP
• Daniel Christopher Mack, O.T.R.
• Magass Urgent Care, LLC
• Melissa Danielle Magassouba
• Moriba Magassouba, PA-C
• Abraham Mathew, MD
• Susan R McFadden, MS, LCPC

• Family Nurse Practitioner in Finksburg, MD
• Providers in Finksburg, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.