| Nik Jefferson Ooi, Llc | |
|
3901 Randolph Rd Silver Spring MD 20902-1052 | |
| (301) 949-4994 | |
| Not Available |
| Full Name | Nik Jefferson Ooi, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3901 Randolph Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Nik J Ooi (NURSE PRACTITIONER) |
| Authorized Official Contact | 4344097543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nik Jefferson Ooi, Llc 3901 Randolph Rd Silver Spring MD 20902-1052 Ph: () - | Nik Jefferson Ooi, Llc 3901 Randolph Rd Silver Spring MD 20902-1052 Ph: (301) 949-4994 |
| NPI Number | 1215691266 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 0143616284 |
|---|---|
| Medicare Enrollment ID | O20220330000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215691266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | John Roxborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033630124 PECOS PAC ID: 9032480249 Enrollment ID: I20210122000692 |
| Provider Name | Nik Jefferson Ooi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215587365 PECOS PAC ID: 8628402864 Enrollment ID: I20220316000754 |
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