Active NPI
New Life Medical
- Primary Care Clinic/Center
- Lanham, MD
National Provider Identifier
1992988455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Primary Care Clinic/Center
- Lanham, MD
- NPI 1386890358
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.