Individual provider Active NPI

Gallus Njongeh Ajong

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1952051716
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
A00201096 Issued in MD
Practice address
1421 Maryland Ave NE Unit 1
Washington, DC 20002-5036
Phone
(646) 339-5721
NPI assigned
Mar 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Home Health Aide 374U00000X A00201096 MD Primary

Addresses

Primary practice location

1421 Maryland Ave NE Unit 1
Washington, DC 20002-5036

Mailing address

6521 Landover Rd Apt T2
Cheverly, MD 20785-1425
Phone (202) 460-8165

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

LicenseStateTypeSpecialty
A00201096MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1952051716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 LANDOVER RD APT T2",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851425",
            "telephone_number": "202-460-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MARYLAND AVE NE UNIT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025036",
            "telephone_number": "646-339-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJONG",
        "first_name": "GALLUS",
        "middle_name": "NJONGEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00201096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.