SYDONIE BONGAM (NPI# 1881169415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881169415 |
| Entity Type | Individual |
| Full Name | SYDONIE BONGAM |
| Credential | FNP |
| Practice Address |
9909 Medical Center Dr Rockville MD 20850-6361 |
| Mailing Address |
4307 Thomas Brigade Ln Fairfax VA 22033-4279 |
| Practice Telephone | 2405547071 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R200143 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AANP | R200143 | 01 |
| Street Address |
9909 MEDICAL CENTER DR |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-6361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216773 | Adventist Rehabilitation Hospital of Maryland Inc | Rehabilitation Hospital | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2005-06-27 |
| 1356957419 | Kinsey Leigh Gunn | Specialist/Technologist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2020-09-23 |
| 1710598875 | Jillian Anne Raglin | Physical Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2020-08-12 |
| 1558981878 | Lawrence Ian Issadore | Occupational Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2020-04-17 |
| 1902441314 | Leila Alavi | Speech-Language Pathologist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2019-11-08 |
| 1518518307 | Colette Colburn | Occupational Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2019-09-24 |
| 1164077301 | Keelan Mcguirk Pearlstein | Speech-Language Pathologist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2019-08-05 |
| 1972160125 | Brianne Altavas | Occupational Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2019-05-23 |
| 1912488370 | Jaclyn Rae Lambergman | Occupational Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2018-08-23 |
| 1033601604 | Naomi Gunter | Physical Therapist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776335 | Betty Lou Meier-forbes | Nurse Practitioner | 811 50 N, Rockville, IN 47872 | 2020-03-27 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1881155901 | Princess Stephenson | Nurse Practitioner | 15200 Shady Grove Rd Ste 320, Rockville, MD 20850-3218 | 2019-03-29 |
| 1609337252 | Esther Vinolia Koilpillai | Nurse Practitioner | 15225 Shady Grove Rd Ste 304, Rockville, MD 20850-3256 | 2019-03-27 |
| 1790242493 | Annette M Jamison | Nurse Practitioner | 50 W Gude Dr Ste 46b, Rockville, MD 20850-1150 | 2019-02-28 |
| 1548727811 | Erica Michelle Moreland | Nurse Practitioner | 10110 Molecular Dr Ste 114, Rockville, MD 20850-7538 | 2019-02-22 |
| 1114405537 | Baekcheol Lee | Nurse Practitioner | 15200 Shady Grove Rd Ste 108, Rockville, MD 20850-3218 | 2018-07-30 |
| 1568956530 | Insun Choi Mandlebaum | Nurse Practitioner | 12253 Tildenwood Dr, Rockville, MD 20852-4161 | 2018-06-21 |
| 1366945016 | Hannah Hyekyung Lee | Nurse Practitioner | 2401 Research Blvd Ste 330, Rockville, MD 20850-6255 | 2018-03-08 |
| 1982119376 | Oyebisi Ifeoluwa-eniola Olanrewaju | Nurse Practitioner | 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912 | 2017-12-06 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.