Organization Active NPI

New Life Medical

  • Primary Care Clinic/Center
  • Lanham, MD
National Provider Identifier
1992988455
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEW LIFE MEDICAL
Practice address
8601 Martin Luther King Jr Hwy
Lanham, MD 20706-1500
Phone
(301) 773-6812
NPI assigned
Dec 7, 2007
Organization subpart
Yes
Parent organization
COLIN OTTEY MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Colin Carlton Ottey, MD
Title
President/Ceo
Phone
(301) 773-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8601 Martin Luther King Jr Hwy
Lanham, MD 20706-1500

Mailing address

8601 Martin Luther King Jr Hwy
Lanham, MD 20706-1500
Phone (301) 773-6812

National Provider Directory

National Provider Directory
Part of
Colin Ottey MD PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1992988455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-773-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-773-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLIN OTTEY MD, PC",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "OTTEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-773-6812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.